Individual
PROF. JASON W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1709 W PRIEN LAKE RD STE B, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Mailing address
1709 W PRIEN LAKE RD STE B, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03804F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03804F
PT LICENSE#
LA
Enumeration date
08/23/2006
Last updated
07/08/2007
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