Healthcare Provider Details

I. General information

NPI: 1891804480
Provider Name (Legal Business Name): ANA ELENA GARCIA OTR/L,CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NW 135TH AVE
MIAMI FL
33182-1905
US

IV. Provider business mailing address

530 NW 135TH AVE
MIAMI FL
33182-1905
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-3601
  • Fax:
Mailing address:
  • Phone: 305-226-3601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT 602
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: