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Individual

DIANA CAROLINA GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(800) 378-7597
Mailing address
10614 DEMILO PL APT 105, ORLANDO, FL 32836-7622
(786) 333-0438

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17163
FL

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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