Individual
MRS. NICOLE MAC DONALD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 HAMMETT AVE, RADFORD, VA 24141-3706
(540) 731-0384
Mailing address
110 HAMMETT AVE, RADFORD, VA 24141-3706
(540) 731-0384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001294
VA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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