Provider Demographics
NPI:1407824188
Name:CAMARENA, ANTHONY ROMERO (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ROMERO
Last Name:CAMARENA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 CAMINO VIENTO NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1904
Mailing Address - Country:US
Mailing Address - Phone:505-890-3769
Mailing Address - Fax:
Practice Address - Street 1:3301 COORS BLVD NW
Practice Address - Street 2:K-2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1292
Practice Address - Country:US
Practice Address - Phone:505-843-8700
Practice Address - Fax:505-843-9103
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1322225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand