Most Relevant Information
Provider Data
| NPI Number: | 1003528969 |
| Provider Name: | KESHIA LATOYA ADAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA002929 |
Most Important Dates
| Enumeration Date: | 12/21/2022 |
| Last Updated: | 12/21/2022 |
Provider Practice Location
115 ROCKY RIDGE DR
DOUGLASVILLE
GA
301344490
Practice Location Phone/Fax
| Phone: | 7069344590 |
| Fax: |
Provider Mailing Location
115 ROCKY RIDGE DR
DOUGLASVILLE
GA
301344490
Provider Mailing Phone/Fax
| Phone: | 7069344590 |
| Fax: |