Individual
MRS. REBECCA ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2815 E JACKSON ST, HUGO, OK 74743-4250
(580) 326-9200
(580) 326-8876
Mailing address
5617 NW 103RD PL, OKLAHOMA CITY, OK 73162-6987
(405) 550-2092
(405) 721-2452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA565
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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