Provider Demographics
NPI:1851700843
Name:GARNER JABLONSKI, GINGER RACHELLE (PT, ATC)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:RACHELLE
Last Name:GARNER JABLONSKI
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4661
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-4661
Mailing Address - Country:US
Mailing Address - Phone:252-725-3619
Mailing Address - Fax:910-401-1578
Practice Address - Street 1:405 CRISTINA CT
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-1801
Practice Address - Country:US
Practice Address - Phone:252-725-3619
Practice Address - Fax:910-401-1578
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist