Individual
MISS JESSICA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 N MONROE ST, MEDIA, PA 19063-3037
(484) 444-0135
(484) 444-0138
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT025150
PA
Other
Enumeration date
05/27/2016
Last updated
09/21/2022
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