Individual
KATHLEEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 HIGHLAND AVE, NEEDHAM, MA 02494-2205
(781) 455-9090
Mailing address
4 AYR RD APT 33, BRIGHTON, MA 02135-7734
(908) 416-9882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10380
MA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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