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Individual

MR. JACOB A ADAMS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4901 DEERFOOT PKWY, TRUSSVILLE, AL 35173-2697
(205) 661-0810
(205) 661-9841
Mailing address
PO BOX 175, TRUSSVILLE, AL 35173-0175
(205) 661-0810
(205) 661-9841

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4120
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
631156852001
TRICARE
AL
01
7688696
AETNA
AK
Enumeration date
03/24/2006
Last updated
07/09/2007
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