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Individual

MRS. LUCILLE CAROL GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4011
CT
225X00000X
Occupational Therapist
OT01368
RI

Other

Enumeration date
03/18/2007
Last updated
06/03/2015
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