LISA BETH WADE

PEORIA, IL
NPI1003576083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XG0600X Occupational Therapist, Gerontology
(Licence: IL  057000996)
Enumeration Date2021-12-18
Last Update Date2021-12-18
Business Address
LISA BETH WADE
6901 N GALENA RD
PEORIA, IL 61614-3193
Phone number: 309-692-4600
Mailing Address
LISA BETH WADE
318 E CRAIG ST
PRINCEVILLE, IL 61559-9596
Phone number: 309-678-0363
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