Provider Demographics
NPI:1396457339
Name:GARBAYO, CHRISTINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:GARBAYO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 N SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-1924
Mailing Address - Country:US
Mailing Address - Phone:626-533-0723
Mailing Address - Fax:
Practice Address - Street 1:1801 3RD ST STE 101
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2672
Practice Address - Country:US
Practice Address - Phone:951-777-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT303355208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation