Healthcare Provider Details

I. General information

NPI: 1578479168
Provider Name (Legal Business Name): CARLA C MOLINA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 SW 84TH AVE
PLANTATION FL
33324-2708
US

IV. Provider business mailing address

209 SW 84TH AVE
PLANTATION FL
33324-2708
US

V. Phone/Fax

Practice location:
  • Phone: 305-300-7626
  • Fax: 949-617-2609
Mailing address:
  • Phone: 305-300-7626
  • Fax: 949-617-2609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberOT23229
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT23229
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT23229
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOT23229
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT23229
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License NumberOT23229
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOT23229
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License NumberOT23229
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT23229
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT23229
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License NumberOT23229
License Number StateFL
# 12
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT23229
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: