Provider Demographics
NPI:1356440408
Name:PAZ, CARLA (OTR HTC)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:OTR HTC
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:
Other - Last Name:VARELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR HTC
Mailing Address - Street 1:2124 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3960
Mailing Address - Country:US
Mailing Address - Phone:626-457-1118
Mailing Address - Fax:626-457-9794
Practice Address - Street 1:8811 GARVEY AVE STE 203
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2464
Practice Address - Country:US
Practice Address - Phone:626-943-9153
Practice Address - Fax:626-434-3600
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7380225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist