Individual
MAYRA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 689-3146
Mailing address
200 HOSPITAL DR, APT 62, CRESTVIEW, FL 32539-7384
(850) 445-2986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14063
FL
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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