Individual
PHILLIP GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 CUNNINGHAM DR STE F, CARROLLTON, GA 30117-2818
(678) 664-1467
(678) 664-1483
Mailing address
2000 MIRROR LAKE BLVD STE S, VILLA RICA, GA 30180-2126
(770) 456-7877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004279
GA
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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