Individual
WADE FUJIWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11133 O ST, OMAHA, NE 68137-2337
(800) 259-9897
Mailing address
11133 O ST, OMAHA, NE 68137-2337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069
CA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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