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NPI Code Detail

MEDICARE: DR. SAMANTHA DANIELLE GARCIA PT, DPT

MEDICARE: DR. SAMANTHA DANIELLE GARCIA PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1364184TX

General Provider Information

NPI Number : 1417678434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA DANIELLE GARCIA PT, DPT
Provider Business Mailing Address
First Line : 2303 EMBRY PL APT 1604
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-1465
Country : US
Telephone Number : 956-244-5121
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5540
Country : US
Telephone Number : 817-548-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/07/2022

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