Provider Demographics
NPI:1497009591
Name:GARCIA, SHIRLEY MAUREEN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:MAUREEN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:SHIRLEY
Other - Middle Name:MAUREEN
Other - Last Name:LOUGHEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:11 LLOSEE CT
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-5876
Mailing Address - Country:US
Mailing Address - Phone:321-626-8635
Mailing Address - Fax:
Practice Address - Street 1:11 LLOSEE CT
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-5876
Practice Address - Country:US
Practice Address - Phone:321-626-8635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7932225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty