Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 009832 | CT |
N | 2251G0304X | Physical Therapist - Geriatrics | PT02629 | RI |
NPI | 1265818124 |
---|---|
Provider Name | Dr. Shayla Ramseyer Adams |
First Address | Westerly, RI 02891-4108 |
Second Address | Westerly, RI 02891 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2015 |
Last Update Date | 17/05/2021 |