Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER SUE WADE, MOT OTR/L
Active Sole ProprietorMS. JENNIFER SUE WADE, MOT OTR/L is a Pediatric Occupational Therapist healthcare provider located in HERRIN, Illinois. NPI 1265664361 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · HERRIN, IL
Registration Details
- NPI Number
- 1265664361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2009 (16.983789733929 yrs)
- Last Updated
- May 16, 2011
- Licenses
-
056.008757 (IL)056.008757 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 N 11TH STHERRIN, IL, 629482847Browse IL providers · Browse ZIP 62948
- Phone
- 6189422436
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
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.