Provider Demographics
NPI:1386635423
Name:WARD, HAROLD W (PT)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:W
Last Name:WARD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1616 ROANOKE RD
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083-2919
Mailing Address - Country:US
Mailing Address - Phone:540-992-4801
Mailing Address - Fax:540-992-1669
Practice Address - Street 1:1616 ROANOKE RD
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-2919
Practice Address - Country:US
Practice Address - Phone:540-992-4801
Practice Address - Fax:540-992-1669
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist