Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Beth Wade

Individual provider Gerontology Occupational Therapist · NPI 1003576083

Lisa Beth Wade is a Gerontology Occupational Therapist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

6901 N Galena Rd
Peoria, IL 61614-3193
Phone: (309) 692-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 057000996 (IL)

Record details

NPI number1003576083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2021
Last updated in NPPESDecember 18, 2021
Certification dateDecember 18, 2021

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