MEDICARE: LEQUITA N ADAMS

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	224Z00000X	Occupational Therapy Assistant	218227	TX

General Provider Information

NPI Number	:	1508615543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEQUITA N ADAMS

Provider Business Mailing Address
First Line	:	819 SUN PRAIRIE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-5347
Country	:	US
Telephone Number	:	832-229-7366
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 SUN PRAIRIE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-5347
Country	:	US
Telephone Number	:	832-229-7366
Fax Number	:

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

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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Directions to “ LEQUITA N ADAMS ” Practice Location

Language	Start Address	Practice Location

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