Provider Demographics
NPI:1992946420
Name:WARD, AMBER DIANE (RRT, CPFT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:DIANE
Last Name:WARD
Suffix:
Gender:F
Credentials:RRT, CPFT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:DIANE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT, CPFT
Mailing Address - Street 1:6767 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3302
Mailing Address - Country:US
Mailing Address - Phone:918-488-9992
Mailing Address - Fax:918-488-9993
Practice Address - Street 1:6767 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3302
Practice Address - Country:US
Practice Address - Phone:918-488-9992
Practice Address - Fax:918-488-9993
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20362279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation