Individual
AMBER RAE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2940
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100200
ANTHEM
ME
01
—
1223916
AETNA HMO
ME
05
—
431250099
—
ME
01
—
7946823
AETNA NON HMO & PPO
ME
Enumeration date
10/03/2006
Last updated
07/09/2009
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