Laura Beth Wade, COTA
Occupational Therapy Assistant in Jonesboro, AR. Individual provider (NPI-1).
NPI number1508304528
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1508304528
- Entity type
- Individual (NPI-1)
- Name
- Laura Beth Wade
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2017
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Other names
- Laura Beth Gordon (Former Name)
Practice location
2204 Chastain DrJonesboro, AR 72401-8066
Phone 870-761-0602
Mailing address
2204 Chastain DrJonesboro, AR 72401-8066
Phone 870-761-0602
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All 151 Occupational Therapy Assistant providers in Jonesboro · All 5,919 providers in Jonesboro
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