Individual
SUSAN C WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
(410) 296-6745
Mailing address
2720 LOCH HAVEN DR, IJAMSVILLE, MD 21754-8822
(301) 653-4810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02390
MD
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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