Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1215126 | TX |
NPI | 1053736843 |
---|---|
Provider Name | Christina Garcia |
First Address | Fort Worth, TX 76107-7641 |
Second Address | Fort Worth, TX 76107-7641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |