Individual
IVAN CEDRIC GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07609
MD
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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