Provider Demographics
NPI:1184256604
Name:DE LA GARZA, MARCELA TERESA (OTR, MOT)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:TERESA
Last Name:DE LA GARZA
Suffix:
Gender:F
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:MARCELA
Other - Middle Name:TERESA
Other - Last Name:HOLLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L MOT
Mailing Address - Street 1:6827 AVENUE C APT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-3660
Mailing Address - Country:US
Mailing Address - Phone:832-607-1027
Mailing Address - Fax:
Practice Address - Street 1:4888 LOOP CENTRAL DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2227
Practice Address - Country:US
Practice Address - Phone:713-838-9050
Practice Address - Fax:713-838-9098
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics