Individual
MRS. HEATHER LYNN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
5123 EDGEWOOD LN, MANITOWOC, WI 54220-9311
(920) 901-4733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4464-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41038600
—
WI
Enumeration date
05/11/2007
Last updated
04/22/2015
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