Mr. Levi Carl Wade
Mr. Levi Carl Wade is a Rehabilitation Practitioner in Pasadena, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
867 N Fair Oaks AvePasadena, CA 91103-3050
Phone: (626) 798-6793
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1619591997 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2020 |
| Last updated in NPPES | June 26, 2020 |
| Certification date | June 26, 2020 |
| Mailing address | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 |
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