Daryl Gene Wade II, PTA

NPI #1689172413 in Sikeston, Missouri

Provider Information

NPI Number
1689172413
Entity Type
Individual
Name
Daryl Gene Wade II, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 26, 2018
Last Updated
Jan 26, 2018

Practice Location

Address
1102 SIKES AVE
ZIP Code
63801-5021
Phone
(573) 471-5755

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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