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1841401528
KEITH ALAN WADE
NEWTON, MA
NPI
1841401528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 10836)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Mr. KEITH ALAN WADE MPT
142 CHURCH ST
NEWTON, MA 02458-2004
Phone number: 617-244-2608
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Mailing Address
Mr. KEITH ALAN WADE MPT
142 CHURCH ST
NEWTON, MA 02458-2004
Phone number: 617-244-2608
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