Individual
LISA MICHELLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9 MILL POND RD, SUITE 3, GRANBY, CT 06035-2628
(860) 413-9969
Mailing address
PO BOX 268, GRANBY, CT 06035-0268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009584
CT
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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