Individual
BRYAN WILLIAM GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, CSCS
Contact information
Practice address
2561 LAC DE VILLE BLVD STE 100, ROCHESTER, NY 14618-5645
(585) 473-1290
(585) 869-5142
Mailing address
2561 LAC DE VILLE BLVD STE 100, ROCHESTER, NY 14618-5645
(585) 869-5140
(585) 869-5142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050727
NY
2255A2300X
Athletic Trainer
2000005462
NY
Other
Enumeration date
08/16/2023
Last updated
02/04/2025
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