Individual
BROOKE NICOLE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
104 N MAIN, THOMAS, OK 73669-7366
(580) 661-3517
Mailing address
24227 E 1030 RD, WEATHERFORD, OK 73096-7503
(580) 330-2821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2495
OK
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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