Provider Demographics
NPI:1730298480
Name:STRAHAN, WARD NELSON (MS PT)
Entity Type:Individual
Prefix:MR
First Name:WARD
Middle Name:NELSON
Last Name:STRAHAN
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1416 GARDENIA DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-4633
Mailing Address - Country:US
Mailing Address - Phone:314-968-3125
Mailing Address - Fax:
Practice Address - Street 1:376 FESTUS CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028
Practice Address - Country:US
Practice Address - Phone:636-931-2100
Practice Address - Fax:636-931-2300
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002002150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist