| NPI | 1801074828 |
|---|---|
| Former Name | JOAN MARIE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 6520) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MN 6520) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2013-07-16 |