Provider Demographics
NPI:1881819282
Name:GARCIA, JO ANN L (OT-C)
Entity Type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6723 RICHARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-1646
Mailing Address - Country:US
Mailing Address - Phone:619-987-4670
Mailing Address - Fax:
Practice Address - Street 1:7485 MISSION VALLEY RD STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4422
Practice Address - Country:US
Practice Address - Phone:619-291-8930
Practice Address - Fax:619-291-4418
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05-0801246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other