Provider Demographics
NPI:1205064920
Name:NADLER, ADAM LEE (MPT)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:LEE
Last Name:NADLER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 W TOWN AND COUNTRY RD
Mailing Address - Street 2:BUILDING F
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4712
Mailing Address - Country:US
Mailing Address - Phone:714-547-1140
Mailing Address - Fax:714-547-1144
Practice Address - Street 1:894 W TOWN AND COUNTRY RD
Practice Address - Street 2:BUILDING F
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4712
Practice Address - Country:US
Practice Address - Phone:714-547-1140
Practice Address - Fax:714-547-1144
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist