Provider Demographics
NPI:1356627715
Name:GARCIA, DANIEL A (OTR)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 MILL VISTA RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2324
Mailing Address - Country:US
Mailing Address - Phone:303-876-8354
Mailing Address - Fax:303-876-8385
Practice Address - Street 1:3420 MILL VISTA RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2324
Practice Address - Country:US
Practice Address - Phone:303-876-8354
Practice Address - Fax:303-876-8385
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1382225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist