Provider Demographics
NPI:1740208610
Name:ALBU, CARMEN MARIA (OT)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:MARIA
Last Name:ALBU
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 NEW MARKET BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5494
Mailing Address - Country:US
Mailing Address - Phone:828-964-3026
Mailing Address - Fax:828-355-9689
Practice Address - Street 1:450 NEW MARKET BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5494
Practice Address - Country:US
Practice Address - Phone:828-964-3026
Practice Address - Fax:828-355-9689
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6615225X00000X
FLOT8297174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26-2359760OtherEIN
FL20-4482314OtherEIN #