Provider Demographics
NPI:1346040631
Name:GARCIA, STEPHANIE (OTRL)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 CRESPI BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33141-1511
Mailing Address - Country:US
Mailing Address - Phone:786-359-6586
Mailing Address - Fax:
Practice Address - Street 1:16800 NW 2ND AVE STE 301
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5508
Practice Address - Country:US
Practice Address - Phone:786-206-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25997225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist