Lisa Beth Wade

NPI #1003576083 in Peoria, Illinois

Provider Information

NPI Number
1003576083
Entity Type
Individual
Name
Lisa Beth Wade
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Gerontology
Enumeration Date
Dec 18, 2021
Last Updated
Dec 18, 2021

Practice Location

Address
6901 N GALENA RD
City
Peoria
ZIP Code
61614-3193
Phone
(309) 692-4600

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - GerontologyGerontology

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