Individual
KELSEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6565 WEST LOOP S, BELLAIRE, TX 77401-3500
(832) 588-3552
Mailing address
6565 WEST LOOP S, BELLAIRE, TX 77401-3500
(832) 588-3552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2123968
TX
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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