Jason M. Wade, OT

NPI #1124288659 in Augusta, Maine

Provider Information

NPI Number: 1124288659
Entity Type: Individual
Name: Jason M. Wade, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Preventive Medicine - Occupational Medicine
Credential: OT
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 219 CAPITOL ST
Address 2: SUITE 2
City: Augusta
State: Maine
ZIP Code: 04330-6235
Phone: (123) 456-7890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X	Primary

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