Provider Demographics
NPI:1487299319
Name:ADAMS, DEVON CLAIRE (ATC)
Entity type:Individual
Prefix:MRS
First Name:DEVON
Middle Name:CLAIRE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:CLAIRE
Other - Last Name:FEGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:101 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4537
Mailing Address - Country:US
Mailing Address - Phone:302-576-2935
Mailing Address - Fax:
Practice Address - Street 1:101 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4537
Practice Address - Country:US
Practice Address - Phone:302-576-2935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00003022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer