Provider Demographics
NPI:1306335559
Name:ADAMS, TAMMY LEE (PTA)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:MOODY
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:FLORIDA LIVING NURSING CENTER
Mailing Address - Street 2:3355 EAST SEMORAN BLVD
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703
Mailing Address - Country:US
Mailing Address - Phone:407-862-6263
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA LIVING REHAB CENTER
Practice Address - Street 2:3355 EAST SEMORAN BLVD
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703
Practice Address - Country:US
Practice Address - Phone:407-862-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA1697225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant