Provider Demographics
NPI:1255901138
Name:FABER, CAREY
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:
Last Name:FABER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1453
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95061-1453
Mailing Address - Country:US
Mailing Address - Phone:831-425-9500
Mailing Address - Fax:
Practice Address - Street 1:317 POTRERO ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-7611
Practice Address - Country:US
Practice Address - Phone:831-425-9500
Practice Address - Fax:831-316-9040
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program