Organization Name: | WARD THERAPIES, PC |
NPI Number: | 1093121824 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL TIMOTHY WARD (PRESIDENT) |
Mailing Address: | 1302 Deacon Dr College Station |
State: | TX US |
Postal Code: | 778456405 |
Phone Number: | 9797393940 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2014 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 1130268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |