Individual
KADY PRISCILLA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1252 S JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6319
(407) 913-1010
Mailing address
1252 S JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6319
(407) 913-1010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16919
FLORIDA COTA LICENSE
FL
Enumeration date
03/19/2019
Last updated
03/19/2019
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