Provider Demographics
NPI:1235812975
Name:GARCIA, MARTA M (ITDS)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162191
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-2191
Mailing Address - Country:US
Mailing Address - Phone:407-437-2318
Mailing Address - Fax:
Practice Address - Street 1:625 ELLSWORTH ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6803
Practice Address - Country:US
Practice Address - Phone:407-437-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist