Individual provider · NPI-1
Martha Camacho Garcia
Developmental Therapist · Ruskin, FL
NPI number1669710208
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1669710208
- Entity type
- Individual (NPI-1)
- Name
- Ms. Martha Camacho Garcia
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2013
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
411 Corbett Bluff DrRuskin, FL 33570-5370
Phone 813-760-9626
Mailing address
411 Corbett Bluff DrRuskin, FL 33570-5370
Phone 813-760-9626
Other practice locations
6818 Cambridge Park Dr
Apollo Beach, FL 33572-1721
Apollo Beach, FL 33572-1721
Phone 813-760-9626
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