Individual
MARY K WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
(207) 621-6211
Mailing address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
(207) 621-6211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2496
ME
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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