Provider Demographics
NPI:1639356967
Name:ADAIR, AMY PATRICIA (MS, ATC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:PATRICIA
Last Name:ADAIR
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2443
Mailing Address - Country:US
Mailing Address - Phone:609-465-1852
Mailing Address - Fax:609-463-1632
Practice Address - Street 1:300 E ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2443
Practice Address - Country:US
Practice Address - Phone:609-465-1852
Practice Address - Fax:609-463-1632
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25T001044002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer