Provider Demographics
NPI:1235154014
Name:ADAMS, MARIA W (PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:W
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 LAPALCO BOULEVARD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-6125
Mailing Address - Country:US
Mailing Address - Phone:504-366-3302
Mailing Address - Fax:504-366-3311
Practice Address - Street 1:2330 LAPALCO BOULEVARD
Practice Address - Street 2:SUITE 10
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-6125
Practice Address - Country:US
Practice Address - Phone:504-366-3302
Practice Address - Fax:504-366-3311
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
56008Medicare ID - Type Unspecified