MS. Mindy J Wade, OTR

NPI #1194863415 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1194863415
Entity Type: Individual
Name: MS. Mindy J Wade, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 E TYRANENA PARK RD
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-9678
Phone: (920) 648-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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