Provider Demographics
NPI:1619211943
Name:GARCIA, DANIELLE TERESA (OTR/L, ATP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:TERESA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR/L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 CRESCENT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3105
Mailing Address - Country:US
Mailing Address - Phone:908-227-8020
Mailing Address - Fax:
Practice Address - Street 1:2213 CRESCENT ST FL 2
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3105
Practice Address - Country:US
Practice Address - Phone:908-227-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00541100225X00000X
NY017001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist