Individual
MILDRED MARIE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4206 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Mailing address
PO BOX 5171, VICTORIA, TX 77903-5171
(361) 582-0602
(361) 582-4978
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164704201
—
TX
Enumeration date
12/21/2009
Last updated
12/21/2009
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