Provider Demographics
NPI:1679781181
Name:ADAMS REHAB SOLUTIONS LLC
Entity Type:Organization
Organization Name:ADAMS REHAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:OXHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-439-8433
Mailing Address - Street 1:250 OLD KINGS RD S
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-4321
Mailing Address - Country:US
Mailing Address - Phone:386-439-8433
Mailing Address - Fax:386-439-8432
Practice Address - Street 1:250 OLD KINGS RD. S.
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136
Practice Address - Country:US
Practice Address - Phone:386-439-8433
Practice Address - Fax:386-439-8432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT14652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty