| Doctor Name: | BENJAMIN ADAMS |
| NPI Number: | 1154721330 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 9617 |
| Business Practice Address: | 123 W Broadway St Owatonna, MN - 550602301 |
| Business Phone Number: | 5074517888 |
| Business Fax Number: | 5074513322 |
| Mailing Address: | 123 W Broadway St, OWATONNA |
| State: | MN |
| Postal Code: | 550602301 |
| Phone Number: | 5074517888 |
| Fax Number: | 5074513322 |
| NPI Enumeration Date: | 08/25/2014 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |