Individual
KIMBERLY ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 ESTATES AVE APT 3208, CHARLOTTE, NC 28209-0260
(239) 272-7926
(239) 272-7926
Mailing address
1225 ESTATES AVE APT 3208, CHARLOTTE, NC 28209-0260
(239) 272-7926
(239) 272-7926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11255
NC
Other
Enumeration date
08/28/2017
Last updated
05/16/2024
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