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NPI Code Detail

MEDICARE: SOFIA ADAMS OTR/L

MEDICARE: SOFIA ADAMS OTR/L
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
1225X00000XOccupational TherapistOC017222PA
2225X00000XOccupational TherapistU1-0012217DE

General Provider Information

NPI Number : 1104412451
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA ADAMS OTR/L
Provider Business Mailing Address
First Line : PO BOX 411422
Second Line :
City : BOSTON
State : MA
Zip : 02241-1422
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 630 CHURCHMANS RD STE 100A
Second Line :
City : NEWARK
State : DE
Zip : 19702-1943
Country : US
Telephone Number : 302-544-5055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2020
Last Update Date : 12/14/2023

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Directions to “ SOFIA ADAMS OTR/L” Practice Location

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