Provider Demographics
NPI:1720203508
Name:ADKINS, BARBARA RUTH (OTRL)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:RUTH
Last Name:ADKINS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:RUTH
Other - Last Name:ESPINOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:5201 MOLOKAI AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1941
Mailing Address - Country:US
Mailing Address - Phone:505-891-8526
Mailing Address - Fax:
Practice Address - Street 1:5400 OBREGON RD
Practice Address - Street 2:ENCHANTED HILLS ELEMENTARY
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-4517
Practice Address - Country:US
Practice Address - Phone:505-891-8526
Practice Address - Fax:505-892-9809
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM92225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMZ2986Medicaid