Individual
MICHAEL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 LADYS ISLAND DR, PORT ROYAL, SC 29935-1106
(843) 940-7053
Mailing address
1251 LADYS ISLAND DR, PORT ROYAL, SC 29935-1106
(843) 940-7053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3024
SC
224Z00000X
Occupational Therapy Assistant
OTA000117
GA
Other
Enumeration date
06/01/2015
Last updated
03/08/2018
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