Individual provider · NPI-1
Charletta Ilana Adams, OT
Occupational Therapist · Washington, DC
NPI number1922658343
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1922658343
- Entity type
- Individual (NPI-1)
- Name
- Charletta Ilana Adams
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2019
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 0045 | DC | Yes |
Practice location
2601 18th St NeWashington, DC 20018-1301
Phone 202-715-7601
Mailing address
4016 19th Pl NeWashington, DC 20018-3252
Phone 202-550-6446
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