Miranda Wade, OT

NPI #1992269500 in Water Valley, Mississippi

Provider Information

NPI Number: 1992269500
Entity Type: Individual
Name: Miranda Wade, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 28, 2019
Last Updated: Jan 28, 2019

Practice Location

Address: 630 S MAIN ST
City: Water Valley
State: Mississippi
ZIP Code: 38965-3468
Phone: (662) 473-5947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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