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Rhonda Wade

Occupational Therapist, Pediatrics in Versailles, KY. Individual provider (NPI-1).

NPI number1699000331
StatusActive
Last updated in NPPESOct 14, 2009

Details

NPI
1699000331
Entity type
Individual (NPI-1)
Name
Rhonda Wade
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2009
Last updated
Oct 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, PediatricsR1238KYYes

Practice location

113 Old Hickory Ln
Versailles, KY 40383-1131

Phone 859-940-1925

Mailing address

113 Old Hickory Ln
Versailles, KY 40383-1131

Phone 859-940-1925

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