Provider Demographics
NPI:1821267287
Name:GARCIA, DEBORA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEBORA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13776 N HIGHWAY 183
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1872
Mailing Address - Country:US
Mailing Address - Phone:512-827-3601
Mailing Address - Fax:512-777-5042
Practice Address - Street 1:13776 N HIGHWAY 183
Practice Address - Street 2:SUITE 107
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1872
Practice Address - Country:US
Practice Address - Phone:512-827-3601
Practice Address - Fax:512-777-5042
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10339225X00000X
TX113481225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209633107Medicaid
TX209633108Medicaid