Basic Information
Provider Information
NPI: 1720234164
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADKINS
FirstName: ROBIN
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 S ROSALIND DR
Address2:  
City: ORANGE
State: CA
PostalCode: 928693622
CountryCode: US
TelephoneNumber: 9495818239
FaxNumber: 9498590849
Practice Location
Address1: 23361 MADERO
Address2: SUITE 200
City: MISSION VIEJO
State: CA
PostalCode: 926912715
CountryCode: US
TelephoneNumber: 9495990218
FaxNumber: 9498590849
Other Information
ProviderEnumerationDate: 08/18/2008
LastUpdateDate: 08/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT10143CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


Home