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Individual

GLORIA M. BARDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1001 NW 25TH PL, CAPE CORAL, FL 33993-4878
(508) 887-2333
Mailing address
1001 NW 25TH PL, CAPE CORAL, FL 33993-4878
(508) 887-2333

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6704
MA
225X00000X
Occupational Therapist
Primary
OT23204
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0700959
MASS HEALTH
01
OT0103
BCBS
Enumeration date
11/13/2007
Last updated
11/15/2023
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