Individual
AARON EZEQUIEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Mailing address
7455 W WASHINGTON AVE, 100, LAS VEGAS, NV 89128-4337
(702) 655-9456
(702) 243-1830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3267
NV
225100000X
Physical Therapist
DPT 42072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PTAN
CA
Enumeration date
01/06/2015
Last updated
03/18/2016
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