Individual
MR. DAVID MERON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2016 EXETER RD, GERMANTOWN, TN 38138-3934
(901) 337-7524
Mailing address
3670 COLLEGE BLF, OLIVE BRANCH, MS 38654-5846
(901) 598-3637
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3601
TN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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