Individual
GARRETT MICHAEL JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17272 NEWHOPE ST STE G, FOUNTAIN VALLEY, CA 92708-4210
(714) 754-7268
Mailing address
3301 MICHELSON DR APT 1114, IRVINE, CA 92612-8800
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT299964
CA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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