Most Relevant Information
Provider Data
| NPI Number: | 1003283599 |
| Provider Name: | MARTHA GARCIA COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 057004363 |
Most Important Dates
| Enumeration Date: | 08/31/2015 |
| Last Updated: | 08/31/2015 |
Provider Practice Location
3703 W LAKE AVE STE 200
GLENVIEW
IL
600261266
Practice Location Phone/Fax
| Phone: | 7864877086 |
| Fax: |
Provider Mailing Location
3703 W LAKE AVE STE 200
GLENVIEW
IL
600261266
Provider Mailing Phone/Fax
| Phone: | 7864877086 |
| Fax: |