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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATARA WADE, PTA

Active

LATARA WADE, PTA is a Occupational Therapist healthcare provider located in SCOTLAND NECK, North Carolina. NPI 1275075939 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SCOTLAND NECK, NC

Registration Details

NPI Number
1275075939
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2016 (9.7585500830505 yrs)
Last Updated
Nov 12, 2016
License
A5642 (NC)

Practice Information

Address
4619 MARY CHAPEL RD
SCOTLAND NECK, NC, 278748877
Browse NC providers · Browse ZIP 27874
Phone
9193403813
Primary Specialty
Occupational Therapist
225200000X
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.