Individual
MILDRED ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 UNIVERSITY BLVD S, MOBILE, AL 36609-2958
(251) 343-9600
(251) 380-3328
Mailing address
1001 AUGUSTA ST, MOBILE, AL 36604-3007
(251) 343-9600
(251) 380-3328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1164
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164
STATE LICENSE
AL
Enumeration date
05/14/2007
Last updated
07/08/2007
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