Provider Demographics
NPI:1760505283
Name:WARD, REBECCA FAYE (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:FAYE
Last Name:WARD
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:5460 S GARNETT RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5916
Mailing Address - Country:US
Mailing Address - Phone:918-794-0310
Mailing Address - Fax:918-591-2855
Practice Address - Street 1:5460 S GARNETT RD
Practice Address - Street 2:SUITE H
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5916
Practice Address - Country:US
Practice Address - Phone:918-794-0310
Practice Address - Fax:918-591-2855
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor