Leslie Wade, PT

NPI #1063738227 in Columbia, Tennessee

Provider Information

NPI Number: 1063738227
Entity Type: Individual
Name: Leslie Wade, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 13, 2010
Last Updated: Apr 15, 2010

Practice Location

Address: 858 W JAMES CAMPBELL BLVD
City: Columbia
State: Tennessee
ZIP Code: 38401-4660
Phone: (931) 380-4014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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