Individual
ALEXANDRA GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
28 GILMAN PLZ, BANGOR, ME 04401-3561
(207) 990-0162
Mailing address
2893 OHIO ST APT B, GLENBURN, ME 04401-7115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3989
ME
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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