Healthcare Provider Details

I. General information

NPI: 1568238426
Provider Name (Legal Business Name): CAROLINE ADAMS OTD, OTR/L, CSRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 WEST 5TH STREET
GREENVILLE NC
27858
US

IV. Provider business mailing address

352 V O A SITE C RD
GREENVILLE NC
27834-7083
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-0695
  • Fax:
Mailing address:
  • Phone: 252-813-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: