=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043495906
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOSEPHINE WARD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2008
-----------------------------------------------------
Last Update Date | 01/30/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 723 ROUTE 113 SUITE 6 PARRY PHYSICAL THERAPY GROUP
-----------------------------------------------------
City | SOUDERTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-538-1999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 652 RIDGE RD
-----------------------------------------------------
City | TELFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18969-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-234-4017
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT003496L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------