Healthcare Provider Details

I. General information

NPI: 1306058300
Provider Name (Legal Business Name): STEVEN WARD OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 ROUTE 70 EAST SUITE 103
CHERRY HILL NJ
08034
US

IV. Provider business mailing address

2905 JOLLY ROAD
PLYMOUTH MEETING PA
19426
US

V. Phone/Fax

Practice location:
  • Phone: 800-670-3893
  • Fax:
Mailing address:
  • Phone: 610-737-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number46TR00093900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberOC006025L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number46TR00093900
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: