Individual
ANN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS
Contact information
Practice address
905 E MAIN ST, OLNEY, IL 62450-2623
(618) 393-7732
(618) 395-3123
Mailing address
905 E MAIN ST, OLNEY, IL 62450-2623
(618) 393-7732
(618) 395-3123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70004263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8030288
BLUECROSS/BLUESHIELD IL
IL
Enumeration date
08/20/2006
Last updated
07/25/2013
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