Individual
NICHOLE M ADAMOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
23379 COMMERCE DR, ACCOMAC, VA 23301-1314
(757) 787-8284
(757) 787-4931
Mailing address
23379 COMMERCE DR, ACCOMAC, VA 23301-1314
(757) 787-8284
(757) 787-4931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003591
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003591
STATE LICENSE NUMBER
VA
Enumeration date
06/13/2006
Last updated
07/08/2007
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