Individual provider · Type 1 NPI

Kimberley Diane Carbonaro, OTR/L

Occupational Therapist · Santa Rosa, CA

NPI number 1922912005 Active

Practice location

4995 Sonoma Hwy
Santa Rosa, CA 95409-4288

Call (707) 542-7375 Map

Mailing address

1000 Yulupa Ave
Santa Rosa, CA 95405-7020

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2635 (CA)

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 1922912005

Kimberley Diane Carbonaro, OTR/L's National Provider Identifier is 1922912005, issued on Sep 28, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 28, 2026.