Organization
ADAPTIVE ROOTS
Active
Organization
ADAPTIVE ROOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE BARBA (CEO / OCCUPATIONAL THERAPIST)
(858) 382-8507
Entity
Organization
Contact information
Practice address
13119 OLD WEST AVE, SAN DIEGO, CA 92129-2406
(858) 382-8507
Mailing address
13119 OLD WEST AVE, SAN DIEGO, CA 92129-2406
(858) 382-8507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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