Provider Demographics
NPI:1235251356
Name:PURCELL, CARLA ANN (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:ANN
Last Name:PURCELL
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:ANN
Other - Last Name:HELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3824 CENTER PLAZA DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007
Mailing Address - Country:US
Mailing Address - Phone:713-320-9633
Mailing Address - Fax:713-867-4314
Practice Address - Street 1:11242 FM 1960 RD W STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3635
Practice Address - Country:US
Practice Address - Phone:281-469-8163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108189225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist