| NPI | 1184047151 |
|---|---|
| Other Name | JESSIE GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9684) |
| 225100000X Physical Therapist (Licence: SC 7192) | |
| 225100000X Physical Therapist (Licence: MO 2013022021) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-01-27 |