Individual
AJA DUDLEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1203 NW 16TH AVE, GAINESVILLE, FL 32601-4023
(352) 373-7337
(352) 377-3611
Mailing address
5811 SW 86TH DR, GAINESVILLE, FL 32608-8528
(813) 390-8565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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