Provider Demographics
NPI:1336372507
Name:GARWACKI, CATHERINE (DPT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:GARWACKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 N NORMA ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3521
Mailing Address - Country:US
Mailing Address - Phone:760-384-4441
Mailing Address - Fax:760-384-4442
Practice Address - Street 1:730 N NORMA ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3521
Practice Address - Country:US
Practice Address - Phone:760-384-4441
Practice Address - Fax:760-384-4442
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358602251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic