Individual
CHARLETTA ILANA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2601 18TH ST NE, WASHINGTON, DC 20018-1301
(202) 715-7601
Mailing address
4016 19TH PL NE, WASHINGTON, DC 20018-3252
(202) 550-6446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0045
DC
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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