Individual
MISS YURIDIA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
(770) 615-0177
Mailing address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
(770) 615-0177
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141263118A
—
GA
Enumeration date
12/05/2006
Last updated
03/30/2017
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