Carol Phares in Rio Rancho - Occupational Therapist
Carol Phares - NPI 1417090259
Carol Phares is a Occupational Therapist in Rio Rancho, New Mexico. Carol Phares practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Carol Phares is 1417090259. The last update date is 2007-07-09.
Carol Phares's current location address is 2204 Rancho Oro Ave Se, Rio Rancho, New Mexico. You can contact this provider via phone number 5058969722. The mailing address for Carol Phares is 2204 Rancho Oro Ave Se, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Phares |
|---|---|
| Address | 2204 Rancho Oro Ave Se, Rio Rancho, New Mexico |
| Phone Number | 5058969722 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1417090259 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2204 Rancho Oro Ave Se |
|---|---|
| City | Rio Rancho |
| State | New Mexico (NM) |
| Post Code | 871248729 |
| Phone Number | 5058969722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 811 |
|
Definition: 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 Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J2696 | NM | -- | |
| 811 | NM | NM OT STATE LICENSE |
Post Comment/ Review Below
What is the Carol Phares's 1417090259?
The Carol Phares's NPI (National Provider Identifier) Number is 1417090259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carol Phares?
The Carol Phares is situated at 2204 Rancho Oro Ave Se, in the city of Rio Rancho, state of NM, with the zip code 871248729.
What is Carol Phares's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Phares's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Carol Phares receive the assignment of its 1417090259 from the Centers for Medicare & Medicaid Services?
The Carol Phares was issued its 1417090259 by the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the details related to Carol Phares most recently updated or revised?
The information pertaining to Carol Phares, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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