Provider Demographics
NPI:1699724740
Name:GARBER, MARC (DPT)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:
Last Name:GARBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 WARING RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4405
Mailing Address - Country:US
Mailing Address - Phone:760-798-9175
Mailing Address - Fax:760-798-9175
Practice Address - Street 1:1958 VIA CTR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6056
Practice Address - Country:US
Practice Address - Phone:760-477-1350
Practice Address - Fax:760-754-6785
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP8020OtherMEDICARE RAILROAD
CACP8020OtherMEDICARE RAILROAD