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NPI Code Detail

MEDICARE: PEGGY ADAMS OTR/L

MEDICARE: PEGGY 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 TherapistOT4131CO

General Provider Information

NPI Number : 1437554474
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY ADAMS OTR/L
Provider Business Mailing Address
First Line : 418 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2127
Country : US
Telephone Number : 719-380-1100
Fax Number : 719-380-1108
Provider Business Practice Location Address
First Line : 418 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2127
Country : US
Telephone Number : 719-380-1100
Fax Number : 719-380-1108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 11/04/2014

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Directions to “ PEGGY ADAMS OTR/L” Practice Location

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