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NPI Code Detail

MEDICARE: JOSHALYNN WARD

MEDICARE: JOSHALYNN WARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1194982215
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHALYNN WARD
Provider Business Mailing Address
First Line : 804 W BAFFIN DR
Second Line :
City : VENICE
State : FL
Zip : 34293-5611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2708 NE 14TH ST
Second Line : SUITE 5
City : POMPANO BEACH
State : FL
Zip : 33062-3565
Country : US
Telephone Number : 954-603-7885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 05/16/2008

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Directions to “ JOSHALYNN WARD ” Practice Location

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