Individual
CURTIS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14411 VANOWEN ST, VAN NUYS, CA 91405-4038
(818) 989-7475
(818) 908-2434
Mailing address
6637 TYRONE AVE, VAN NUYS, CA 91405-4740
(818) 787-9855
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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