Individual
MRS. DEBORAH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
9612 OVERTON DR, LAUREL, MD 20723-1461
(301) 325-0859
Mailing address
9612 OVERTON DR, LAUREL, MD 20723-1461
(301) 325-0859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01419
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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