Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 32066 | CA |
N | 2251E1200X | Ergonomics | 32066 | CA |
N | 225XE1200X | Ergonomics | 32066 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | 32066 | CA |
N | 2251S0007X | Physical Therapist - Sports | 32066 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 32066 | CA |
NPI | 1548547763 |
---|---|
Provider Name | Dr. Laura Ward |
First Address | Lake Forest, CA 92630-8807 |
Second Address | Lake Forest, CA 92630-8807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2011 |
Last Update Date | 16/11/2011 |