Provider Demographics
NPI:1023153202
Name:ADAMS, JESSICA (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NW 17TH ST
Mailing Address - Street 2:RM 27
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1119
Mailing Address - Country:US
Mailing Address - Phone:305-547-3703
Mailing Address - Fax:305-326-6514
Practice Address - Street 1:900 NW 17TH ST
Practice Address - Street 2:RM 27
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1119
Practice Address - Country:US
Practice Address - Phone:305-547-3703
Practice Address - Fax:305-326-6514
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13261174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist