Individual provider · Type 1 NPI

Nicole R. Wade, PTA

Physical Therapy Assistant · Edmond, OK

NPI number 1629800172 Active

Practice location

1505 Renaissance Blvd
Edmond, OK 73013-3018

Call (405) 850-8497 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3740 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1629800172

Nicole R. Wade, PTA's National Provider Identifier is 1629800172, issued on Aug 14, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Edmond, OK. The record was last updated on Aug 14, 2024.