Latara Wade, PTA
NPI #1275075939 in Scotland Neck, North Carolina
Provider Information
- NPI Number
- 1275075939
- Entity Type
- Individual
- Name
- Latara Wade, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 12, 2016
- Last Updated
- Nov 12, 2016
Practice Location
- Address
- 4619 MARY CHAPEL RD
- City
- Scotland Neck
- State
- North Carolina
- ZIP Code
- 27874-8877
- Phone
- (919) 340-3813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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