Individual
MR. ALAN DAVID ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6634
(414) 773-6635
Mailing address
12021 W PLAINFIELD AVE, GREENFIELD, WI 53228-1856
(414) 773-6634
(414) 773-6635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1032-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40868900
—
WI
Enumeration date
02/26/2007
Last updated
07/08/2007
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