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Individual

KATHY J ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
198 MAIN ST, GREENVILLE, PA 16125-2106
(724) 589-0262
(724) 589-5975
Mailing address
198 MAIN ST, GREENVILLE, PA 16125-2106
(724) 589-0262
(724) 589-5975

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C18354
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017959290005
PA
05
2208873
OH
Enumeration date
06/28/2006
Last updated
07/08/2007
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