Individual
THERESA ESQUIVEL-WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 JUNEAU AVE UNIT B, JBER, AK 99505-1236
(254) 245-5792
Mailing address
1341 JUNEAU AVE UNIT B, JBER, AK 99505-1236
(254) 245-5792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2654
AK
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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