Doctor Name: | CAROLYNE WADE |
NPI Number: | 1205293826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5369 |
Business Practice Address: | 1516 Jefferson Hwy New Orleans, LA - 701212429 |
Business Phone Number: | 5048423000 |
Business Fax Number: | |
Mailing Address: | 1516 Jefferson Hwy, NEW ORLEANS |
State: | LA |
Postal Code: | 701212429 |
Phone Number: | 5048423000 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2016 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5369 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |