Individual
CAROL JEANETTE FARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
510 N COIT RD STE 2035, RICHARDSON, TX 75080-5437
(972) 437-2048
(972) 480-8514
Mailing address
2901 RUSH CREEK RD, MCKINNEY, TX 75070-7222
(214) 726-2211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110645
STATE LICENSE
TX
Enumeration date
09/21/2011
Last updated
09/21/2011
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