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NPI Code Detail

MEDICARE: CARLA BETZ OTR/L

MEDICARE:   CARLA  BETZ  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistCA

General Provider Information

NPI Number : 1457283426
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA BETZ OTR/L
Provider Business Mailing Address
First Line : 5021 BEL ESTOS DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-5446
Country : US
Telephone Number : 408-821-2312
Fax Number :
Provider Business Practice Location Address
First Line : 5175 UNION AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-5497
Country : US
Telephone Number : 408-821-2312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ CARLA BETZ OTR/L” Practice Location

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