Provider Demographics
NPI:1811281363
Name:ADAMS, LORI (DPT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 VALLEY VIEW PKWY
Mailing Address - Street 2:APT 1837
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-5536
Mailing Address - Country:US
Mailing Address - Phone:951-990-4653
Mailing Address - Fax:
Practice Address - Street 1:1252 BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5822
Practice Address - Country:US
Practice Address - Phone:530-622-9410
Practice Address - Fax:530-622-9445
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA35957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist