Provider Demographics
NPI:1215744230
Name:BARRERA-GARCIA, VICKY JOANN (OTA/COTA)
Entity type:Individual
Prefix:MS
First Name:VICKY
Middle Name:JOANN
Last Name:BARRERA-GARCIA
Suffix:
Gender:F
Credentials:OTA/COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16318 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1046
Mailing Address - Country:US
Mailing Address - Phone:210-806-6304
Mailing Address - Fax:
Practice Address - Street 1:16318 HALIFAX ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1046
Practice Address - Country:US
Practice Address - Phone:210-806-6304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208740224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant