Provider Demographics
NPI:1902811797
Name:GARBARINI, ERICA L (PT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:L
Last Name:GARBARINI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:L
Other - Last Name:UHL-GARBARINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:9 ORANGE PL
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5524
Mailing Address - Country:US
Mailing Address - Phone:973-696-9613
Mailing Address - Fax:
Practice Address - Street 1:9 ORANGE PL
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5524
Practice Address - Country:US
Practice Address - Phone:973-696-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA03542225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist