Individual
MRS. AMY GIVENS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
001695
WV
225100000X
Physical Therapist
Primary
18884
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158004000
—
WV
01
—
54631603
BLUE CROSS BLUE SHIELD
MD
01
—
650016654
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
11/12/2010
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