Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
N | 225XH1200X | Occupational Therapist - Hand | 46TR00038400 | NJ |
NPI | 1124109244 |
---|---|
Provider Name | Andrea L Garcia |
First Address | Howell, NJ 07731-1579 |
Second Address | Howell, NJ 07731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |