Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 06922 | MD |
NPI | 1003389529 |
---|---|
Provider Name | Valerie Nicole Adams |
First Address | Elkton, MD 21921-6731 |
Second Address | Elkton, MD 21921-6731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2019 |
Last Update Date | 08/01/2019 |