Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 13008 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 13008 | CA |
NPI | 1417379330 |
---|---|
Provider Name | Adriana Garcia Adame |
First Address | Pinole, CA 94564-2349 |
Second Address | Concord, CA 94521-1145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2014 |
Last Update Date | 11/01/2014 |