Doctor Name: | HEATHER AMANDA JANTZ GARCIA |
NPI Number: | 1205204765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., OTR/L |
License Number: | 12085 |
Business Practice Address: | 2061 Wright Avenue Suite A-7 La Verne, CA - 91750 |
Business Phone Number: | 9095198912 |
Business Fax Number: | |
Mailing Address: | 21524 Hawkeye Ridge Circle, YORBA LINDA |
State: | CA |
Postal Code: | 92887 |
Phone Number: | 7077823529 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |