Individual
EMILY M. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3537 N. CROSSING CIRCLE, VALDOSTA, GA 31602
(229) 333-0095
Mailing address
4831 SUMMIT RIDGE ROAD, VALDOSTA, GA 31602
(229) 253-8091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8272
GA
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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