Individual
JAIME ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
17715 PARK BLVD APT 3E, LANSING, IL 60438-1949
(773) 426-4134
Mailing address
17715 PARK BLVD APT 3E, LANSING, IL 60438-1949
(773) 426-4134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
57002540
IL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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