Individual
ALICIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 SWEET GRASS DR SE, CALEDONIA, MI 49316-7309
(616) 485-7587
Mailing address
2100 RAYBROOK ST SE STE 300, GRAND RAPIDS, MI 49546-5783
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501016773
—
MI
Enumeration date
12/20/2018
Last updated
12/20/2018
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