Tammy C Wade OT

NPI 1952313298 - Occupational Therapist - 225X00000X

NPI Details
NPI 1952313298
Gender Female
Enumeration Date 08/13/2006
Last Updated 02/26/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2210B MILL STREET EXT
LUCEDALE MS, 39452-6064, US
Phone (601) 947-9005
Fax (601) 947-9007
Business Location
PO BOX 8419
BILOXI MS, 39535-8087, US
Phone (228) 338-5714
Fax (228) 388-0017
Toxanomy
Taxonomy Code 225X00000X
License State Mississippi
License Number OT1512
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According to our database, Tammy C Wade OT NPI is 1952313298, taxonomy code is 225X00000X and license number is OT1512, license state is located at Mississippi. Tammy C Wade OT physically located at 2210b Mill Street Ext, Lucedale MS, 39452-6064. NPI Number Tammy C Wade OT has the Individual type.

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1952313298 NPI number is provided on an as is basis without warranty of any kind. 1952313298 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy C Wade OT are for informational purposes only.