Individual
ADRIENNE LEE VICKERS
Active
Individual
ADRIENNE LEE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27845
FL
2251P0200X
Pediatric Physical Therapist
PT010912
GA
Other
Enumeration date
10/18/2012
Last updated
10/05/2021
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