Individual
NICOLE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19818 MC 85, BUCKEYE, AZ 85326
(623) 386-2286
Mailing address
3612 N COPENHAGEN DR, AVONDALE, AZ 85392-3511
(520) 831-1116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012022
AZ
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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