Provider Demographics
NPI:1073759783
Name:GARCIA, MARY SYLVIA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:SYLVIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3470
Mailing Address - Country:US
Mailing Address - Phone:956-240-4210
Mailing Address - Fax:956-287-4052
Practice Address - Street 1:3025 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3470
Practice Address - Country:US
Practice Address - Phone:956-240-4210
Practice Address - Fax:956-287-4052
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111803225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist