LAWRENCE ROBERT WADE

ST PETERSBURG, FL
NPI1972176329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA-17645)
Enumeration Date2021-07-22
Last Update Date2021-07-22
Business Address
LAWRENCE ROBERT WADE
3456 21ST AVE S
ST PETERSBURG, FL 33711-3213
Phone number: 727-327-1988
Mailing Address
LAWRENCE ROBERT WADE
5034 3RD AVE N
ST PETERSBURG, FL 33710-8212
Phone number: 727-288-1375
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