Individual
KELLI ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 OAK GROVE AVE, MENLO PARK, CA 94025-4319
(650) 363-5674
Mailing address
705 OAK GROVE AVE, MENLO PARK, CA 94025-4319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 8524
CA
2255A2300X
Athletic Trainer
040102023
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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