Individual
LESLIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
858 W JAMES CAMPBELL BLVD, COLUMBIA, TN 38401-4660
(931) 380-4014
Mailing address
1742 UNIVERSITY DR, COLUMBIA, TN 38401-6412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5647
TN
Other
Enumeration date
04/13/2010
Last updated
04/15/2010
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