Individual
COLLETTE WADE DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 403-7850
Mailing address
195 DROOS WAY, CHARLESTON, SC 29414-6861
(803) 230-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7935
SC
Other
Enumeration date
08/17/2015
Last updated
10/26/2023
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