Healthcare Provider Details

I. General information

NPI: 1194783795
Provider Name (Legal Business Name): JANET K GARCIA RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 E 8TH ST
CAMBRIDGE OH
43725-2364
US

IV. Provider business mailing address

128 EAST 8TH STREET
CAMBRIDGE OH
43725
US

V. Phone/Fax

Practice location:
  • Phone: 740-435-0320
  • Fax:
Mailing address:
  • Phone: 740-510-0373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05085
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number05085
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number05085
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: