Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 056.013776 | IL |
NPI | 1033721493 |
---|---|
Provider Name | Emily N Garcia |
First Address | Chicago, IL 60631-2656 |
Second Address | Chicago, IL 60614-0008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2020 |
Last Update Date | 18/08/2020 |