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THERESA A ADAMS PA-C, ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437404548

Individual Registrant:
 THERESA A ADAMS PA-C, ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1075 MASON AVE  DAYTONA BEACH, FL 32117-4611 US
Tel: 386-255-4596  Fax: 386-258-3561

Contact information for business:
1075 MASON AVE  DAYTONA BEACH, FL 32117-4611 US
Tel: 386-255-4596  Fax: 386-258-3561

Registration Information:
NPI: 1437404548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
FLAL2836
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9113017

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
105958900FL05




HEALTH CARE JOBS FL - Page 1



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