Basic Information
| Provider Information | |||||||||
| NPI: | 1134551807 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | THOMAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8300 HEALTH PARK | ||||||||
| Address2: | SUITE 127 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276154730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198456160 | ||||||||
| FaxNumber: | 9198456188 | ||||||||
| Practice Location | |||||||||
| Address1: | 3700 NW CARY PKWY | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275138446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193193649 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2013 | ||||||||
| LastUpdateDate: | 08/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 14446 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.