Provider Demographics
NPI:1942522958
Name:GARCIA, DORALI (OTR)
Entity Type:Individual
Prefix:
First Name:DORALI
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9442
Mailing Address - Country:US
Mailing Address - Phone:956-467-8252
Mailing Address - Fax:185-520-8113
Practice Address - Street 1:125 E HARVEY ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9442
Practice Address - Country:US
Practice Address - Phone:956-467-8252
Practice Address - Fax:185-520-8113
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113457225X00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174400000XOther Service ProvidersSpecialist