Provider Demographics
NPI:1760751143
Name:ADKINS, BARBARA A (OT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:ADKINS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 LIVINGSTON AVE
Mailing Address - Street 2:#200
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-3781
Mailing Address - Country:US
Mailing Address - Phone:440-233-1068
Mailing Address - Fax:440-233-1056
Practice Address - Street 1:1800 LIVINGSTON AVE
Practice Address - Street 2:#200
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3781
Practice Address - Country:US
Practice Address - Phone:440-233-1068
Practice Address - Fax:440-233-1056
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT001757225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist