Provider Demographics
NPI:1740692912
Name:GARSTKA, THERESE C (OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:THERESE
Middle Name:C
Last Name:GARSTKA
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7536 GARDNER PARK DRIVE SUITE #7536
Mailing Address - Street 2:HAND AND UPPER EXTREMITY REHAB
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:703-754-4770
Mailing Address - Fax:703-754-4435
Practice Address - Street 1:7536 GARDNER PARK DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3414
Practice Address - Country:US
Practice Address - Phone:703-754-4770
Practice Address - Fax:703-754-4435
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006313225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand