Individual provider · Type 1 NPI

Carol Phares, OTR

Occupational Therapist · Albuquerque, NM

NPI number 1417090259 Active

Practice location

4216 Balloon Park Rd NE
Albuquerque, NM 87109-5801

Fax (505) 344-9343

Mailing address

2204 Rancho Oro Ave SE
Rio Rancho, NM 87124-8729

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X811 (NM)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417090259

Carol Phares, OTR's National Provider Identifier is 1417090259, issued on Feb 14, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 9, 2007.