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Individual

MARTHA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(786) 487-7086
Mailing address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(786) 487-7086

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004363
IL
224Z00000X
Occupational Therapy Assistant
OTA14686
FL

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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