# ADINA ROBERTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255745386
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | OTA000985 | IA | — |
| 171W00000X | Contractor | OTA05336 | OH | — |
| 171W00000X | Contractor | OTA2744 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 06/17/2014
