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NPI Code Detail

MEDICARE: MR. RAFAEL GARCIA OTR/L

MEDICARE: MR. RAFAEL GARCIA OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist15077CA

General Provider Information

NPI Number : 1558754960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAFAEL GARCIA OTR/L
Provider Business Mailing Address
First Line : 1599 S NOVATO BLVD APT 203
Second Line :
City : NOVATO
State : CA
Zip : 94947-4106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5419
Country : US
Telephone Number : 805-279-4220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2015
Last Update Date : 03/09/2015

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