Individual
MR. BRIAN MATTHEW ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
697 EDGEWOOD RD, WILKESBORO, NC 28697-9562
(336) 844-4249
(336) 844-4819
Mailing address
PO BOX 1024, NORTH WILKESBORO, NC 28659-1024
(336) 844-4249
(336) 844-4819
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1469F
BCBS
NC
05
—
7302011
—
NC
Enumeration date
07/24/2007
Last updated
10/09/2012
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