| Doctor Name: | NICOLE RENEE GARNER |
| NPI Number: | 1023257144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 22786 |
| Business Practice Address: | 9135 Piscataway Rd Suite 305 Clinton, MD - 207352549 |
| Business Phone Number: | 3018772323 |
| Business Fax Number: | 3018772366 |
| Mailing Address: | 8926 Woodyard Rd, Suite 701 CLINTON |
| State: | MD |
| Postal Code: | 207354220 |
| Phone Number: | 3018561682 |
| Fax Number: | 3018568214 |
| NPI Enumeration Date: | 02/12/2009 |
| NPI Last Update Date: | 07/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |