Individual
KATLYN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
8848 RED OAK BLVD STE AA, CHARLOTTE, NC 28217-5595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
6175
TN
Other
Enumeration date
09/11/2019
Last updated
04/10/2025
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