Individual
ERIC WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 MILL ST APT 10, SOUTHINGTON, CT 06489-4740
(203) 232-6494
Mailing address
500 MILL ST APT 10, SOUTHINGTON, CT 06489-4740
(203) 232-6494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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