Individual
ANN L WADE
Active
Individual
ANN L WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT CMPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132279
LABOR & INDUSTRIES
WA
05
—
8341042
—
WA
Enumeration date
09/21/2005
Last updated
10/09/2007
Update your record
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