Individual provider · Type 1 NPI
Lisa Gay Wade, OTRL
Specialist · Enterprise, AL
NPI number
1154489516
Active
Practice location
557 Glover Ave Ste 5
Enterprise, AL 36330-2070
Fax (334) 393-4495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0106 (AL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Enterprise
About NPI 1154489516
Lisa Gay Wade, OTRL's National Provider Identifier is 1154489516, issued on Dec 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Enterprise, AL. The record was last updated on Jul 8, 2007.