Healthcare Provider Details

I. General information

NPI: 1609889179
Provider Name (Legal Business Name): BARBARA LYNNE GRAHAM-GARCIA OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 AUTO CENTER DR
WATSONVILLE CA
95076-3727
US

IV. Provider business mailing address

579 AUTO CENTER DR
WATSONVILLE CA
95076-3727
US

V. Phone/Fax

Practice location:
  • Phone: 831-722-9680
  • Fax: 831-724-9311
Mailing address:
  • Phone: 831-722-9680
  • Fax: 831-724-9311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 2579
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number9811000034
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: