Individual
LISA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
530 CREEK LANDING LN, ALPHARETTA, GA 30005-7813
(678) 923-1585
Mailing address
530 CREEK LANDING LN, ALPHARETTA, GA 30005-7813
(678) 923-1585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006711
GA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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