Provider Demographics
NPI:1881842607
Name:GARCIA, FAUSTINO H JR (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:DR
First Name:FAUSTINO
Middle Name:H
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:DR
Other - First Name:JUN
Other - Middle Name:H
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:117 ARCHTREE LN
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-8127
Mailing Address - Country:US
Mailing Address - Phone:731-587-5049
Mailing Address - Fax:
Practice Address - Street 1:180 MOUNT PELIA RD
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-3812
Practice Address - Country:US
Practice Address - Phone:731-587-4231
Practice Address - Fax:731-587-6716
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3034283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital