Basic Information
Provider Information
NPI: 1124563606
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: ALMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10848 SCRIPPS RANCH BLVD APT 201
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921316026
CountryCode: US
TelephoneNumber: 8083871581
FaxNumber:  
Practice Location
Address1: 12696 MONTE VISTA RD
Address2:  
City: POWAY
State: CA
PostalCode: 920642500
CountryCode: US
TelephoneNumber: 8584876242
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/20/2016
LastUpdateDate: 12/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X39432CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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