MS. Jennifer Sue Wade, MOT OTR/L

NPI #1265664361 in Herrin, Illinois

Provider Information

NPI Number
1265664361
Entity Type
Individual
Name
MS. Jennifer Sue Wade, MOT OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
MOT OTR/L
Enumeration Date
Aug 22, 2009
Last Updated
May 16, 2011

Practice Location

Address
1101 N 11TH ST
City
Herrin
ZIP Code
62948-2847
Phone
(618) 942-2436

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Occupational Therapist - PediatricsPediatrics

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