Organization Name: | ADAMS SPORTS MEDICINE & PHYSICAL THERAPY, P.C. |
NPI Number: | 1043553597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN J ADAMS (OWNER) |
Mailing Address: | 46001 Grand River Ave Suite A Novi |
State: | MI US |
Postal Code: | 483741319 |
Phone Number: | 2485133003 |
Fax Number: | 2485133004 |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |