Individual
CRAIG DEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
1001 N 7TH AVE STE 205, POCATELLO, ID 83201-5761
(208) 239-1490
(208) 239-1794
Mailing address
1001 N 7TH AVE STE 205, POCATELLO, ID 83201-5761
(208) 239-1490
(208) 239-1794
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-485
ID
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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