Individual
MRS. JENNIFER ANNE CARTON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1001 POTRERO AVE, GC-1, SAN FRANCISCO, CA 94110-3518
(415) 206-4463
(415) 206-5777
Mailing address
2308 CHARDONNAY WAY, ANTIOCH, CA 94509-6418
(415) 336-4218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2961
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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