Individual
DARREN P WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9108
Mailing address
19463 HUNT RD, PETERSBURG, IL 62675-6055
(217) 632-5978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U OF I CHICAGO
SCHOOL
—
Enumeration date
03/29/2006
Last updated
11/11/2022
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