Provider Demographics
NPI:1669663019
Name:GARCIA, DAISY GRISEL (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:DAISY
Middle Name:GRISEL
Last Name:GARCIA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160431
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-0431
Mailing Address - Country:US
Mailing Address - Phone:407-920-8604
Mailing Address - Fax:407-905-9858
Practice Address - Street 1:1002 S DILLARD ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3991
Practice Address - Country:US
Practice Address - Phone:407-905-9808
Practice Address - Fax:407-905-8958
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA10390224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant