MEDICARE: SAIRA 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
1	225X00000X	Occupational Therapist	019719-1	NY

General Provider Information

NPI Number	:	1649648783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIRA GARCIA OTR/L

Provider Business Mailing Address
First Line	:	19 BROOKRIDGE AVE
Second Line	:
City	:	EASTCHESTER
State	:	NY
Zip	:	10709-3503
Country	:	US
Telephone Number	:	914-413-7832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1794 E 172ND ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1936
Country	:	US
Telephone Number	:	718-824-0950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2015
Last Update Date	:	09/07/2015

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