Provider Demographics
NPI:1871763052
Name:ADAMS, AIMEE DEVON (M, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:DEVON
Last Name:ADAMS
Suffix:
Gender:F
Credentials:M, OTR/L
Other - Prefix:MRS
Other - First Name:AIMEE
Other - Middle Name:DEVON
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:3728 LIME ROCK RD
Mailing Address - Street 2:
Mailing Address - City:EAST BEND
Mailing Address - State:NC
Mailing Address - Zip Code:27018-7636
Mailing Address - Country:US
Mailing Address - Phone:336-699-3899
Mailing Address - Fax:336-699-3899
Practice Address - Street 1:3728 LIME ROCK RD
Practice Address - Street 2:
Practice Address - City:EAST BEND
Practice Address - State:NC
Practice Address - Zip Code:27018-7636
Practice Address - Country:US
Practice Address - Phone:336-699-3899
Practice Address - Fax:336-699-3899
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1597225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist