| Ms Jennifer Sue Wade, MOT OTR/L | |
|
1101 N 11th St, Herrin, IL 62948-2847 | |
| (618) 942-2436 | |
| Not Available |
| Full Name | Ms Jennifer Sue Wade |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1101 N 11th St, Herrin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265664361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.008757 (Illinois) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 056.008757 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Sue Wade, MOT OTR/L 1101 N 11th St, Herrin, IL 62948-2847 Ph: (618) 942-2436 | Ms Jennifer Sue Wade, MOT OTR/L 1101 N 11th St, Herrin, IL 62948-2847 Ph: (618) 942-2436 |
Mr. Andrew Patrick Smith, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Sharmisha Benjamin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 N 14th Street, Herrin, IL 62948 Phone: 618-942-7391 | |
Geraldine Uy Eichhorn, OTR/L, BCN Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4928 | |
Mrs. Dena Leigh Kirk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Park Ave, Herrin, IL 62948 Phone: 618-942-3088 Fax: 618-942-7116 | |
Miss Brandi Rose Kirby, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Mr. Mark Anthony Abel Basco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4926 |