JOHN M. WADE

MOUNTAIN HOME AFB, ID
NPI1124250626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 34891)
Enumeration Date2009-08-17
Last Update Date2023-07-31
Business Address
Mr. JOHN M. WADE DPT
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-2175
Mailing Address
Mr. JOHN M. WADE DPT
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-2175
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