Individual
MR. CHRISTOPHER CHARLES WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
239 NORTHERN BLVD, CLARK SUMMIT, PA 18411-9302
(570) 587-2142
(570) 587-1978
Mailing address
24569 ROUTE 6, SUITE C, TOWANDA, PA 18848-8254
(570) 265-1111
(570) 265-7134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
024734-1
NY
225100000X
Physical Therapist
Primary
PT020949
PA
Other
Enumeration date
05/03/2006
Last updated
10/13/2010
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