# MRS. FABIENNE MARIE WADE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184765281
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT 603 | HI | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 01/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00H0028103 | HMSA | HI |
| 01 | — | 025244 | ALOHA CARE | HI |
| 05 | — | 02524418 | — | HI |
| 01 | — | 142261 | DEPT.OF LABOR WASH. WC | WA |
| 01 | — | 142261 | DEPT.OF LABOR WASH WC | — |