Provider Demographics
NPI:1942440672
Name:GARCIA-CARRERAS, CHRISTINA MARIE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:GARCIA-CARRERAS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:PEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1625 ROSWELL RD
Mailing Address - Street 2:APT 1022
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-9023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5610 BETHELVIEW RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-7523
Practice Address - Country:US
Practice Address - Phone:770-781-8851
Practice Address - Fax:678-781-8227
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist