Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA4065 | AL |
NPI | 1003237520 |
---|---|
Provider Name | April Ward |
First Address | Bay Minette, AL 36507-3462 |
Second Address | Bay Minette, AL 36507-3462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2013 |
Last Update Date | 21/01/2014 |