Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 5501010114 | MI |
N | 2251X0800X | Physical Therapist - Orthopedic | 5501010114 | MI |
NPI | 1245367473 |
---|---|
Provider Name | Dr. Brian J Adams |
First Address | Novi, MI 48374-1319 |
Second Address | Novi, MI 48374-1319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 21/06/2013 |