Individual
ADAM PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
783 NW DONOVAN RD, LEES SUMMIT, MO 64086-4542
(417) 838-2547
Mailing address
783 NW DONOVAN RD, LEES SUMMIT, MO 64086-4542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06071
KS
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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