Individual
DENISE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7149 TOWNSHIP LINE RD, WAYNESVILLE, OH 45068-8054
(419) 234-2260
Mailing address
571 KARNS DR, VANDALIA, OH 45377-1430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6557
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.026136
OH
Other
Enumeration date
11/20/2009
Last updated
02/06/2020
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