Individual
SHONNA LYN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
646 16TH ST., ASTORIA, OR 97103
(503) 325-0313
Mailing address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222
(701) 370-8195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09137
OR
225200000X
Physical Therapy Assistant
A- 0735
NV
Other
Enumeration date
01/12/2015
Last updated
06/02/2015
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