Provider Demographics
NPI:1497422315
Name:SANCHEZ, GARRET (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:GARRET
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10169 SW 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7363
Mailing Address - Country:US
Mailing Address - Phone:352-286-5582
Mailing Address - Fax:
Practice Address - Street 1:1232 RACE RD STE 203
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2376
Practice Address - Country:US
Practice Address - Phone:410-918-0080
Practice Address - Fax:410-918-0050
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28624225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist