Provider Demographics
NPI:1942902846
Name:GARING, ESTELA P
Entity Type:Individual
Prefix:
First Name:ESTELA
Middle Name:P
Last Name:GARING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:007 SUERTE SUBDIVISION
Mailing Address - Street 2:
Mailing Address - City:KIDAPAWAN CITY
Mailing Address - State:NORTH COTABATO
Mailing Address - Zip Code:64 9400
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10003 PMB 1341
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:NORTHERN MARIANA ISLAND
Practice Address - Zip Code:96950
Practice Address - Country:UM
Practice Address - Phone:670-233-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist