Individual
JACK ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13 SPRUCE CIR, SCARBOROUGH, ME 04074-9018
(207) 400-1999
Mailing address
13 SPRUCE CIR, SCARBOROUGH, ME 04074-9018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2017
Last updated
02/19/2017
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