Provider Demographics
NPI:1336952605
Name:WARD, VICTORIA LYNN (RMP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:WARD
Suffix:
Gender:F
Credentials:RMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:42 VICTORIA SQ
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-1111
Mailing Address - Country:US
Mailing Address - Phone:240-818-8602
Mailing Address - Fax:
Practice Address - Street 1:8927 FINGERBOARD RD STE C
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8164
Practice Address - Country:US
Practice Address - Phone:301-874-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR03007225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist