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NPI Code Detail

MEDICARE: ADAM SKROVE

MEDICARE:   ADAM  SKROVE
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
12251X0800XOrthopedic Physical TherapistPT35385CA

General Provider Information

NPI Number : 1417287350
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM SKROVE
Provider Business Mailing Address
First Line : 27432 ALISO CREEK RD
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-5337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27432 ALISO CREEK RD
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-5337
Country : US
Telephone Number : 949-349-9555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2009
Last Update Date : 12/27/2009

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Directions to “ ADAM SKROVE ” Practice Location

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