Individual
JESSICA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12 WRIGHT WAY, OAKLAND, NJ 07436-3121
(201) 644-7142
Mailing address
PO BOX 112, MAHWAH, NJ 07430-0112
(201) 644-7142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00518000
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
014027-01
NY
Other
Enumeration date
01/11/2013
Last updated
06/07/2021
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