Individual
MRS. PAULA NIELSEN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
82 WINNE RD, MOUNT TREMPER, NY 12457-5116
(845) 688-7124
Mailing address
82 WINNE RD, MOUNT TREMPER, NY 12457-5116
(845) 688-7124
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6724
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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