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Individual

MR. JACOB PALMER ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSOTR/L

Contact information

Practice address
2860 E STATE ROAD 61, VINCENNES, IN 47591-9056
(812) 887-1219
Mailing address
2860 E STATE ROAD 61, VINCENNES, IN 47591-9056
(812) 887-1219

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17203
CA
225X00000X
Occupational Therapist
5036
TN

Other

Enumeration date
11/20/2017
Last updated
11/20/2017
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