IndividualActive
Heather Park, OT
NPI 1316211105 · Pediatric Occupational Therapist · Albuquerque, NM
Provider details
- NPI number
- 1316211105
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 2895 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5006 Copper Ave Ne
Albuquerque, NM 87108-1301
Phone: (505) 268-7988
Fax: (505) 268-8021
Approximate (ZIP-level) locationGet directions
Mailing address
904 Hollywood Blvd
Corrales, NM 87048-8478
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.