Provider Demographics
NPI:1801828520
Name:WARD, CHERI BETH (DPT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:CHERI
Middle Name:BETH
Last Name:WARD
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11757
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-4757
Mailing Address - Country:US
Mailing Address - Phone:910-520-5026
Mailing Address - Fax:
Practice Address - Street 1:PARAGON MEDICAL BUILDING
Practice Address - Street 2:SUITE 104
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-714-2845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI108225100000X
NY026615225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist