MEDICARE: CHRISTINA GARBAYO 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
1	208100000X	Physical Medicine & Rehabilitation Physician	PT303355	CA

General Provider Information

NPI Number	:	1396457339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA GARBAYO PT, DPT

Provider Business Mailing Address
First Line	:	1015 N SUNSET AVE
Second Line	:
City	:	AZUSA
State	:	CA
Zip	:	91702-1924
Country	:	US
Telephone Number	:	626-533-0723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 3RD ST STE 101
Second Line	:
City	:	NORCO
State	:	CA
Zip	:	92860-2672
Country	:	US
Telephone Number	:	951-777-2178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	12/21/2022

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