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Angela Adams

Occupational Therapist in Peoria, IL. Individual provider (NPI-1).

NPI number1124564802
StatusActive
Last updated in NPPESJan 18, 2017

Details

NPI
1124564802
Entity type
Individual (NPI-1)
Name
Miss Angela Adams
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2017
Last updated
Jan 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056009112ILYes

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-2381

Mailing address

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-2381

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