NPI 1023447638

Jennifer Ward

Practitioner Physical Therapy Assistant Mishawaka, IN

Practice location

Address: 1420 E Douglas Rd, Mishawaka, IN 46545-1733
Phone: (574) 307-7163

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06002594A (IN)

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Registry record

NPI: 1023447638
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2013
Record last updated: 4 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.