Individual
MAX ADAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 BONITA RD STE 100, CHULA VISTA, CA 91910-3263
(619) 422-5315
Mailing address
1082 GUATAY AVE, CHULA VISTA, CA 91911-2256
(619) 598-9709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54012
CA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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