| NPI | 1386889749 |
|---|---|
| Former Name | STEPHANIE W WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-002927) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |