Individual
NICHOLAS RYAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7950 LAKE UNDERHILL RD, ORLANDO, FL 32822-8229
(407) 658-2046
Mailing address
412 SUMMIT RIDGE PL APT 316, LONGWOOD, FL 32779-3645
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15911
FL
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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