Individual
MS. NANCY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
27903 TINDALE TRL, NEW HUDSON, MI 48165-8534
(248) 797-1112
(248) 446-3168
Mailing address
27903 TINDALE TRL, NEW HUDSON, MI 48165-8534
(248) 797-1112
(248) 446-3168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003937
MI
Other
Enumeration date
06/09/2006
Last updated
11/05/2009
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