Provider Demographics
NPI:1811685274
Name:ADKINS, DARLENE MICHELLE (LPTA)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:MICHELLE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5528 ROCKVIEW CURV APT F
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-1726
Mailing Address - Country:US
Mailing Address - Phone:804-301-9187
Mailing Address - Fax:
Practice Address - Street 1:7600 AUTUMN PARK WAY
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3868
Practice Address - Country:US
Practice Address - Phone:804-730-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2306606318225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant