Healthcare Provider Details

I. General information

NPI: 1205479821
Provider Name (Legal Business Name): KARLA W STERNBERG COVER OTR, SCLV, CLVT, MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2019
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6428 PEPPERDINE ST NE
ALBUQUERQUE NM
87111-1216
US

IV. Provider business mailing address

6428 PEPPERDINE ST NE
ALBUQUERQUE NM
87111-1216
US

V. Phone/Fax

Practice location:
  • Phone: 281-935-9762
  • Fax:
Mailing address:
  • Phone: 281-935-9762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number112529
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number112529
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT4363
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number112529
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOT4363
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: