Individual
CAROLYNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1516 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0866OR
LA
225100000X
Physical Therapist
Primary
4079
HI
225100000X
Physical Therapist
43597
CA
225100000X
Physical Therapist
5369
MS
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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