Provider Demographics
NPI:1508041773
Name:GARCIA, ACE VICTOR BERNARDO (PT)
Entity Type:Individual
Prefix:MR
First Name:ACE VICTOR
Middle Name:BERNARDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 LIVINGSTON RD STE 450
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4905
Mailing Address - Country:US
Mailing Address - Phone:301-248-8900
Mailing Address - Fax:301-248-8915
Practice Address - Street 1:9400 LIVINGSTON RD STE 450
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4905
Practice Address - Country:US
Practice Address - Phone:301-248-8900
Practice Address - Fax:301-248-8915
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist