JACK L WADE

WASILLA, AK
NPI1942368857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  1762)
Enumeration Date2006-12-04
Last Update Date2007-07-09
Business Address
-- JACK L WADE PT
3035 PALMER WASILLA HWY STE 401
WASILLA, AK 99654-7274
Phone number: 907-376-8590
Mailing Address
-- JACK L WADE PT
3035 PALMER WASILLA HWY STE 401
WASILLA, AK 99654-7234
Phone number: 907-376-8590