Doctor Name: | JESSICA FOXWORTH WADE |
NPI Number: | 1588076541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT011437 |
Business Practice Address: | 1146 Elma G. Miles Parkway Suite 103 Hinesville, GA - 31313 |
Business Phone Number: | 9123689355 |
Business Fax Number: | 9123689360 |
Mailing Address: | 1146 Elma G. Miles Parkway, Suite 103 HINESVILLE |
State: | GA |
Postal Code: | 31313 |
Phone Number: | 9123689355 |
Fax Number: | 9123689360 |
NPI Enumeration Date: | 05/27/2014 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |