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NPI Code Detail

MEDICARE: MRS. AMY GIVENS ADAMS MPT

MEDICARE: MRS. AMY GIVENS ADAMS MPT
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
1225100000XPhysical Therapist18884MD
2225100000XPhysical Therapist001695WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3650016654OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
254631603OTHERMDBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1063449890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY GIVENS ADAMS MPT
Provider Business Mailing Address
First Line : 11801 INDUSTRIAL PARK ST
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-5139
Country : US
Telephone Number : 301-729-3485
Fax Number : 301-729-0158
Provider Business Practice Location Address
First Line : 11801 INDUSTRIAL PARK ST
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-5139
Country : US
Telephone Number : 301-729-3485
Fax Number : 301-729-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 11/12/2010

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Directions to “ MRS. AMY GIVENS ADAMS MPT” Practice Location

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