STEPHANIE DIANE WADE

PEACHTREE CORNERS, GA
NPI1659830149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  007284)
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
STEPHANIE DIANE WADE
5701 SPALDING DR
PEACHTREE CORNERS, GA 30092-2405
Phone number: 770-416-0502
Mailing Address
STEPHANIE DIANE WADE
974 N CARTER RD
DECATUR, GA 30030-4701
Phone number: 205-777-9666