Individual provider · Type 1 NPI

Adria Gabrielle Willoughby

Rehabilitation Practitioner · San Diego, CA

NPI number 1487433009 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Fax (619) 389-2168

Mailing address

1260 Morena Blvd, Suite 100
San Diego, CA 92110

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1487433009

Adria Gabrielle Willoughby's National Provider Identifier is 1487433009, issued on Sep 22, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Mar 27, 2025.