Provider Demographics
NPI:1164838744
Name:GARCIA, MARTA (OTR)
Entity Type:Individual
Prefix:MS
First Name:MARTA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:17026 BULVERDE RD STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-4700
Practice Address - Country:US
Practice Address - Phone:210-819-2994
Practice Address - Fax:210-463-5942
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
100901225XP0200X
TX100901225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics