Provider Demographics
NPI:1275309965
Name:GARCIA, DAVID EMMANUEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EMMANUEL
Last Name:GARCIA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10340 SW 211TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3069
Mailing Address - Country:US
Mailing Address - Phone:786-281-6460
Mailing Address - Fax:
Practice Address - Street 1:10340 SW 211TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3069
Practice Address - Country:US
Practice Address - Phone:768-281-6460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT24577225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist