Individual
AUTUMN RICHELLE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 SW 33RD AVE, OCALA, FL 34474-4466
(352) 237-7776
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14604
FL
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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