Lawrence Robert Wade
Lawrence Robert Wade is a Physical Therapy Assistant in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
3456 21st Ave SSt Petersburg, FL 33711-3213
Phone: (727) 327-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA-17645 (FL) |
|---|
Record details
| NPI number | 1972176329 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2021 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 5034 3rd Ave N, St Petersburg, FL 33710-8212 |
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