Individual
ELLEN PATRICIA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5418
Mailing address
38 MAUREEN DR, SMITHFIELD, RI 02917-2336
(401) 349-2205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1222
RI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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