MEDICARE: DR. LINA-MARIA GARCIA OTD, 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	OC012367	PA
2	225X00000X	Occupational Therapist	017415	NY
3	225X00000X	Occupational Therapist	OT008928	OH

General Provider Information

NPI Number	:	1710249735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINA-MARIA GARCIA OTD, OTR/L

Provider Business Mailing Address
First Line	:	3225 OAKLEY STATION BLVD UNIT 321
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1278
Country	:	US
Telephone Number	:	215-668-6518
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 OAKLEY STATION BLVD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1276
Country	:	US
Telephone Number	:	215-668-6518
Fax Number	:

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

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	10/04/2020

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