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Marco Antonio Adame' Jr., DPT, ATC

Physical Therapist in Glendale, CA. Individual provider (NPI-1).

NPI number1205901352
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1205901352
Entity type
Individual (NPI-1)
Name
Marco Antonio Adame' Jr.
Credential
DPT, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Nov 22, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist33076CAYes

Practice location

500 W Glenoaks Blvd
Glendale, CA 91202

Phone 818-637-2127

Mailing address

1375 W San Bernardino Rd Apt 262
Covina, CA 91722-4406

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