Provider Demographics
NPI:1528244167
Name:GARCES, LILIANA (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:LILIANA
Middle Name:
Last Name:GARCES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:LILIANA
Other - Middle Name:
Other - Last Name:GARCES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:17900 NW 5TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2808
Mailing Address - Country:US
Mailing Address - Phone:954-435-9905
Mailing Address - Fax:954-435-3769
Practice Address - Street 1:17900 NW 5TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2808
Practice Address - Country:US
Practice Address - Phone:954-435-9905
Practice Address - Fax:954-435-3769
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT5499225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist