MRS. Lisa Gay Wade, OTRL
NPI #1154489516 in Enterprise, Alabama
Provider Information
- NPI Number
- 1154489516
- Entity Type
- Individual
- Name
- MRS. Lisa Gay Wade, OTRL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- OTRL
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 557 GLOVER AVE STE 5
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2070
- Phone
- (334) 347-0234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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