Individual
MRS. CARA SHANNON KING PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-3753
Mailing address
1123 NARCISCO ST NE, ALBUQUERQUE, NM 87112-6656
(505) 298-3443
(505) 298-3443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0701
NM
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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