Provider Demographics
NPI:1831872274
Name:GARCIA, BROOKLYN MARIE
Entity type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:MARIE
Last Name:GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160852
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-0852
Mailing Address - Country:US
Mailing Address - Phone:209-270-8699
Mailing Address - Fax:
Practice Address - Street 1:8243 E STOCKTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-8204
Practice Address - Country:US
Practice Address - Phone:707-399-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner