Most Relevant Information
Provider Data
| NPI Number: | 1003390204 |
| Provider Name: | IANNA JAVIER GARCIA OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 022875-1 |
Most Important Dates
| Enumeration Date: | 09/24/2018 |
| Last Updated: | 09/24/2018 |
Provider Practice Location
4900 BROAD RD
SYRACUSE
NY
132152265
Practice Location Phone/Fax
| Phone: | 3154925011 |
| Fax: |
Provider Mailing Location
310-JH, 750 EAST ADAMS STREET SYRACUSE, NY 13210
SYRACUSE
NY
13210
Provider Mailing Phone/Fax
| Phone: | 3154645820 |
| Fax: | 3154648699 |