Wade, Keith Alan

Wade, Keith Alan is an individual health care provider with primary practice located at 142 Church St , Newton MA 02458-2004. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wade, Keith Alan can be contacted via phone (617) 244-2608.

Contact Information

Primary practice address
142 Church St Newton MA 02458-2004
Phone: (617) 244-2608
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10836 Massachusetts

Profile Details

NPI number 1841401528
LBN Legal business name Wade, Keith Alan
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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