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Mrs. Lisa Gay Wade, OTRL
Specialist in Enterprise, Alabama
NPI 1154489516

Lisa Gay Wade is a Specialist based in Enterprise, AL. Lisa Gay Wade practices in Enterprise, AL and has the professional credentials of OTRL. The NPI Number for Lisa Gay Wade is 1154489516 and holds a License No. 0106 (Alabama).

The current practice location address for Lisa Gay Wade is 557 Glover Ave Ste 5, Enterprise, AL and can be reached out via phone at 334-347-0234 and via fax at 334-393-4495. You can also correspond with Lisa Gay Wade through the mailing address at 557 GLOVER AVE STE 5, ENTERPRISE, AL - 36330-2070 (mailing address contact number: 334-347-0234).

Location: 557 Glover Ave Ste 5, Enterprise, AL, 36330-2070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154489516
Provider Name
Lisa Gay Wade
Credential
OTRL
Provider Entity Type
Individual
Gender
Female
Address
557 Glover Ave Ste 5, Enterprise, AL, 36330-2070
Phone Number
334-347-0234
Fax Number
334-393-4495
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
557 Glover Ave Ste 5
City
Enterprise
State
Alabama
Zip
36330-2070
Phone Number
334-347-0234
Fax Number
334-393-4495
person
Provider Business Mailing Address Details
Address
557 Glover Ave Ste 5
City
Enterprise
State
Alabama
Zip
36330-2070
Phone Number
334-347-0234
Fax Number
334-393-4495
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0106 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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