# JENNIFER WADE

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

## Provider details

- **NPI number:** 1255798989
- **Gender:** F
- **Credential:** O.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 12947 | MA | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 06596 | MD | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | OTR2857 | AR | — |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 06/03/2021