Provider Demographics
NPI:1962462747
Name:GARMAN, GREGORY R (PT)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:R
Last Name:GARMAN
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 1:2839 NEW PROVIDENCE CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4434
Mailing Address - Country:US
Mailing Address - Phone:703-217-3198
Mailing Address - Fax:
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:703-556-7788
Practice Address - Fax:703-556-9750
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist