Individual
MR. JAMES WADE STREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2222 N HARBOR BLVD, FULLERTON, CA 92835-2605
(714) 333-1555
Mailing address
1727 W GLENOAKS AVE APT 110, ANAHEIM, CA 92801-4005
(714) 262-3861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8240
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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