Individual
MR. JOHN M. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2803 MEDICAL CAMPUS DR, GOLDSBORO, NC 27531-2310
(929) 722-8463
Mailing address
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-2175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 34891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 34891
PT BOARD OF CA
CA
Enumeration date
08/17/2009
Last updated
01/30/2026
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