Individual
GINGER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3431 NORTH 13TH STREET, SHEBOYGAN, WI 53083
(920) 452-0567
Mailing address
2410 N 31ST ST, SHEBOYGAN, WI 53083-4335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
62019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40393900
—
WI
Enumeration date
05/30/2007
Last updated
07/08/2007
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