Provider Demographics
NPI:1396019477
Name:GARCIA, MARIA LIZA SABAOAN
Entity Type:Individual
Prefix:
First Name:MARIA LIZA
Middle Name:SABAOAN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10708 17TH AVE S
Mailing Address - Street 2:APT L
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-8811
Mailing Address - Country:US
Mailing Address - Phone:253-579-6280
Mailing Address - Fax:
Practice Address - Street 1:2102 S 96TH ST
Practice Address - Street 2:ALL BOARD CERTIFICATION STATUS'
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-1753
Practice Address - Country:US
Practice Address - Phone:253-581-2514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60003227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist