Individual
SAMUEL RYAN STEVENS ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
1100 E NELSON RD, MOSES LAKE, WA 98837-2360
(509) 393-8504
Mailing address
116 TALKIRE LAKE RD, TONASKET, WA 98855-9608
(541) 261-5819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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