Wade, Wanda Lee

Wade, Wanda Lee is an sole proprietor health care provider with primary practice located at 5 Vause St , Northport NY 11768-2118. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wade, Wanda Lee can be contacted via phone (631) 327-3324.

Contact Information

Primary practice address
5 Vause St Northport NY 11768-2118
Phone: (631) 327-3324
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 027200-01 New York

Profile Details

NPI number 1295431773
LBN Legal business name Wade, Wanda Lee
Credentials LMT, CMLDT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about last year

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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