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NPI Code Detail

MEDICARE: DR. JACOB ALAN WARD PT, DPT

MEDICARE:  DR. JACOB ALAN WARD  PT, DPT
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
1225100000XPhysical Therapist6208OK

General Provider Information

NPI Number : 1790546836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB ALAN WARD PT, DPT
Provider Business Mailing Address
First Line : 8308 S INDIANAPOLIS PL
Second Line :
City : TULSA
State : OK
Zip : 74137-1743
Country : US
Telephone Number : 918-521-7107
Fax Number :
Provider Business Practice Location Address
First Line : 8308 S INDIANAPOLIS PL
Second Line :
City : TULSA
State : OK
Zip : 74137-1743
Country : US
Telephone Number : 918-521-7107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/16/2024

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Directions to “ DR. JACOB ALAN WARD PT, DPT” Practice Location

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