Individual
TOMMY DEAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6400 N SANTA FE AVE, STE. B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
4115 MICHAEL RD., EDMOND, OK 75025
(405) 348-8515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1446
OK
Other
Enumeration date
04/06/2007
Last updated
09/21/2007
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