Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1023401759 |
---|---|
Provider Name | Ana Maria Garcia |
First Address | Ft Lauderdale, FL 33304-3544 |
Second Address | Ft Lauderdale, FL 33304-3544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 04/03/2015 |