Provider Demographics
NPI:1497900146
Name:ADAMS, ALESHA DAWN (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:DAWN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:ALESHA
Other - Middle Name:DAWN
Other - Last Name:DOUGHARTY, YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:2825 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-6065
Mailing Address - Country:US
Mailing Address - Phone:970-242-7356
Mailing Address - Fax:
Practice Address - Street 1:2825 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-6065
Practice Address - Country:US
Practice Address - Phone:720-317-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.000876225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist