Individual
MADISYN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
293 S US HIGHWAY 231, JASPER, IN 47546-3244
(812) 998-6176
Mailing address
15532 US HIGHWAY 231, LOOGOOTEE, IN 47553-4942
(812) 709-9129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008649A
IN
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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