Individual
RHONDA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 OLD HICKORY LN, VERSAILLES, KY 40383-1131
(859) 940-1925
Mailing address
113 OLD HICKORY LN, VERSAILLES, KY 40383-1131
(859) 940-1925
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R1238
KY
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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