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NPI Code Detail

MEDICARE: DEOMA JOSEPH ADAMS P.T.

MEDICARE: DEOMA JOSEPH ADAMS P.T.
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
1225100000XPhysical Therapist00727LA

General Provider Information

NPI Number : 1679753446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEOMA JOSEPH ADAMS P.T.
Provider Business Mailing Address
First Line : 290 BOWIE RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-6712
Country : US
Telephone Number : 985-493-4782
Fax Number : 985-449-2548
Provider Business Practice Location Address
First Line : 290 BOWIE RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-6712
Country : US
Telephone Number : 985-493-4782
Fax Number : 985-449-2548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2007
Last Update Date : 11/09/2007

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Directions to “ DEOMA JOSEPH ADAMS P.T.” Practice Location

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