Provider Demographics
NPI:1184888687
Name:ALBO FERRARI, ANGELA (OTR)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ALBO FERRARI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:ALBO FERRARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:PO BOX 20526
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86341-0526
Mailing Address - Country:US
Mailing Address - Phone:949-500-4711
Mailing Address - Fax:
Practice Address - Street 1:20 BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-7740
Practice Address - Country:US
Practice Address - Phone:928-554-4006
Practice Address - Fax:928-554-4683
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1674225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist