Provider Demographics
NPI:1225007487
Name:GARBER, BRENDA LEE (PT)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:LEE
Last Name:GARBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9829 MARYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:OSTRANDER
Mailing Address - State:OH
Mailing Address - Zip Code:43061-8705
Mailing Address - Country:US
Mailing Address - Phone:419-230-6698
Mailing Address - Fax:
Practice Address - Street 1:163 N SANDUSKY ST
Practice Address - Street 2:SUITE 106
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1785
Practice Address - Country:US
Practice Address - Phone:740-363-5818
Practice Address - Fax:740-363-6895
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist