MEDICARE: MR. ADAM FREDERICK PARSONS OTR/L, NBCTMB

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
1	225X00000X	Occupational Therapist	0119005308	VA
2	225700000X	Massage Therapist	0019008482	VA

General Provider Information

NPI Number	:	1265793160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM FREDERICK PARSONS OTR/L, NBCTMB

Provider Business Mailing Address
First Line	:	1310 ROSENEATH RD UNIT 304
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4645
Country	:	US
Telephone Number	:	804-690-8224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 ROSENEATH RD UNIT 304
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4645
Country	:	US
Telephone Number	:	804-690-8224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	10/22/2019

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