Individual
KEVIN K GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28 NEW DRIFTWAY, SCITUATE, MA 02066-4532
(781) 545-8114
(781) 545-7390
Mailing address
PO BOX 357, 28 NEW DRIFT WAY, SCITUATE, MA 02066-0357
(781) 545-8114
(781) 545-7390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5055
MA
Other
Enumeration date
10/18/2005
Last updated
10/04/2011
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