Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT1109 | FL |
NPI | 1023029451 |
---|---|
Provider Name | Mrs. Carol Sue Adams |
First Address | Naples, FL 34112-8716 |
Second Address | Naples, FL 34112-8716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |