Individual
MR. ERIC CHARLES WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
216 E 4TH ST, PORT ANGELES, WA 98362-3200
(360) 565-3740
Mailing address
216 E 4TH ST, PORT ANGELES, WA 98362-3200
(360) 565-3740
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
3892
OR
2251P0200X
Pediatric Physical Therapist
Primary
PT00009695
WA
Other
Enumeration date
07/19/2007
Last updated
11/16/2012
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