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NPI Code Detail

MEDICARE: MARICE GARCIA

MEDICARE: MARICE GARCIA
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
1225200000XPhysical Therapy Assistant47979CA

General Provider Information

NPI Number : 1881255529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARICE GARCIA
Provider Business Mailing Address
First Line : 6610 WHITNEY ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1030
Country : US
Telephone Number : 510-316-4406
Fax Number :
Provider Business Practice Location Address
First Line : 3025 HIGH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94619-1807
Country : US
Telephone Number : 510-261-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

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Directions to “ MARICE GARCIA ” Practice Location

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