Individual
ELYSE GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 PARKLAND PLZ STE 100, ANN ARBOR, MI 48103-6208
(734) 222-8515
Mailing address
8565 STULL RD, GRASS LAKE, MI 49240-9585
(586) 638-6302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302000
MI
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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