Provider Demographics
NPI:1013474865
Name:COVARRUBIAS, ADRIANA (MA, OTR/L)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:COVARRUBIAS
Suffix:
Gender:
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15552 SLEEPY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-6036
Mailing Address - Country:US
Mailing Address - Phone:951-447-1478
Mailing Address - Fax:
Practice Address - Street 1:4135 PARK BLVD UNIT 233
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2674
Practice Address - Country:US
Practice Address - Phone:951-447-1478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25051225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics