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Individual

MRS. DEBORAH JOBES GARDINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9600 CLARENCE CENTER RD, CLARENCE CENTER, NY 14032-9748
(716) 407-9150
Mailing address
5703 MARTHAS VINEYARD, CLARENCE CENTER, NY 14032-9341
(716) 741-1024

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008125-1
NY

Other

Enumeration date
08/27/2011
Last updated
08/27/2011
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