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NPI Code Detail

MEDICARE: EMILY WADE DPT

MEDICARE: EMILY WADE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1912463076
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WADE DPT
Provider Business Mailing Address
First Line : 5517 POINTE BREEZE DR
Second Line :
City : DUBLIN
State : OH
Zip : 43016-7504
Country : US
Telephone Number : 567-230-6736
Fax Number :
Provider Business Practice Location Address
First Line : 5800 FOREST HILLS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-6916
Country : US
Telephone Number : 614-215-9341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2019
Last Update Date : 02/13/2019

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