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Individual

DOMINIQUE GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
14411 COMMERCE WAY, MIAMI LAKES, FL 33016-1596
(305) 625-8844
Mailing address
6329 NW 179TH TER, HIALEAH, FL 33015-4450
(786) 281-8670

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16512
FL

Other

Enumeration date
05/15/2018
Last updated
05/15/2018
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