Individual
MR. KEITH ALAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
142 CHURCH ST, NEWTON, MA 02458-2004
(617) 244-2608
Mailing address
142 CHURCH ST, NEWTON, MA 02458-2004
(617) 244-2608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10836
MA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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