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NPI Code Detail

MEDICARE: ADAPTIVE MODIFICATIONS LLC

MEDICARE: ADAPTIVE MODIFICATIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1013394873
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAPTIVE MODIFICATIONS LLC
Provider Business Mailing Address
First Line : 6710 VIRGINIA PKWY
Second Line : STE 215-70
City : MCKINNEY
State : TX
Zip : 75071-5514
Country : US
Telephone Number : 972-754-7103
Fax Number : 214-592-0860
Provider Business Practice Location Address
First Line : 6710 VIRGINIA PKWY
Second Line : STE 215-70
City : MCKINNEY
State : TX
Zip : 75071-5514
Country : US
Telephone Number : 972-754-7103
Fax Number : 214-592-0860
Authorized Official
Title or Position : OCCUPATIONAL THERAPY CONSULTANT
Name : MR. JAMES BOREN
Credential : COTA
Telephone Number : 972-754-7103
Provider Enumeration Date : 04/30/2015
Last Update Date : 04/30/2015

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Directions to “ADAPTIVE MODIFICATIONS LLC ” Practice Location

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