Carol J. Morehouse, OTR/L
Individual provider Active NPI Occupational Therapist · Bloomfield, NM
NPI 1033425152 · NPPES record last updated Aug 26, 2010
Key facts
- NPI
- 1033425152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2490 (NM)
- Practice address
- 325 N Bergin LN
Bloomfield, NM 87413-6729 - Phone
- (505) 634-3946
- Fax
- (505) 634-3950
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2490 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2490 | NM | Yes |
Addresses
Primary practice location
325 N Bergin LN
Bloomfield, NM 87413-6729
Mailing address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 634-3946
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64434826 | Medicaid | NM |
Other providers in Bloomfield, NM
- Darlene M Martinez
- Amy Elizabeth Massey
- Randy R Maxson
- Cynthia L Miller
- Cortney Dawn Miner Preator
- Laura Mundschau
- Nida Naqvi
- Christopher L Nuttall
- Maria Lynn Oliphant
- Victoria Gale Peck
All providers in Bloomfield, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.