Provider Demographics
NPI:1629434840
Name:ADAME, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ADAME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N SCREENLAND DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2244
Mailing Address - Country:US
Mailing Address - Phone:818-371-9011
Mailing Address - Fax:
Practice Address - Street 1:1222 N SCREENLAND DR UNIT A
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2244
Practice Address - Country:US
Practice Address - Phone:818-371-9011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner