Individual
AUSTIN JOHN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3150 ROGERS RD STE 216, WAKE FOREST, NC 27587-7068
(919) 229-8363
(919) 229-8356
Mailing address
981 HIGH HOUSE RD STE 100, CARY, NC 27513-3510
(193) 880-1119
(919) 388-8668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21101
NC
225100000X
Physical Therapist
PT029176
PA
Other
Enumeration date
03/23/2021
Last updated
03/24/2022
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