Provider Demographics
NPI:1952551442
Name:GARCHA, JAGDEEP K (PT)
Entity Type:Individual
Prefix:
First Name:JAGDEEP
Middle Name:K
Last Name:GARCHA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 KALI PL
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-6102
Mailing Address - Country:US
Mailing Address - Phone:916-316-7200
Mailing Address - Fax:
Practice Address - Street 1:333 UNIVERSITY AVE
Practice Address - Street 2:STE 150
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6535
Practice Address - Country:US
Practice Address - Phone:916-316-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist