Individual
LUKE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
29011 MERRICK AVE, WARREN, MI 48092-2114
(248) 763-3317
Mailing address
29011 MERRICK AVE, WARREN, MI 48092-2114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004082
MI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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