Provider Demographics
NPI:1497208011
Name:GARCIA, LAMAREE CHARISSE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAMAREE
Middle Name:CHARISSE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:LAMAREE
Other - Middle Name:CHARISSE
Other - Last Name:BARRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3000 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-4458
Mailing Address - Country:US
Mailing Address - Phone:312-912-2624
Mailing Address - Fax:773-521-5305
Practice Address - Street 1:3000 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4458
Practice Address - Country:US
Practice Address - Phone:312-912-2624
Practice Address - Fax:773-521-5305
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056009507225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist