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Individual
MRS. CAROL LYNN GARDNER
Active
Individual
MRS. CAROL LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009274
IL
225XH1200X
Hand Occupational Therapist
OC002813L
PA
Other
Enumeration date
05/22/2007
Last updated
02/25/2022
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