Provider Demographics
NPI:1255759395
Name:GARCIA, YOSLEYN (COTA/L)
Entity type:Individual
Prefix:
First Name:YOSLEYN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:YOSLEYN
Other - Middle Name:D
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPHT
Mailing Address - Street 1:6987 NW 168TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4266
Mailing Address - Country:US
Mailing Address - Phone:305-609-2845
Mailing Address - Fax:
Practice Address - Street 1:6987 NW 168TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4266
Practice Address - Country:US
Practice Address - Phone:305-609-2845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT11594183700000X
FLOTA13237224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No183700000XPharmacy Service ProvidersPharmacy Technician