Individual
CHANELLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2099 GRAND ISLAND BLVD STE B, GRAND ISLAND, NY 14072-2266
(716) 773-3300
Mailing address
318 W UTICA ST APT 3, BUFFALO, NY 14222-2081
(716) 400-1097
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
049369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049369
PHYSICAL THERAPY LICENSE
NY
Enumeration date
09/05/2022
Last updated
09/05/2022
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