Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | A02555 | MD |
NPI | 1003320862 |
---|---|
Provider Name | Ms. Scarlett Alexandra Adkins |
First Address | Salisbury, MD 21801-2066 |
Second Address | Gambrills, MD 21054-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2017 |
Last Update Date | 30/11/2017 |