Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BETH WADE
Active Sole ProprietorLISA BETH WADE is a Gerontology Occupational Therapist healthcare provider located in PEORIA, Illinois. NPI 1003576083 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · PEORIA, IL
Registration Details
- NPI Number
- 1003576083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2021 (4.6898694764693 yrs)
- Last Updated
- Dec 18, 2021
- License
-
057000996 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6901 N GALENA RDPEORIA, IL, 616143193Browse IL providers · Browse ZIP 61614
- Phone
- 3096924600
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Other Gerontology Occupational Therapist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MS. BEVERLY LOUISE STEPHENS | COTA/L | 1104298645 |
| RANDI JO JUENGER | — | 1245991389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.