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Individual

ARIANA J GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1700 JR LYNCH STREET, JACKSON, MS 39217-0001
(601) 979-2416
Mailing address
6803 CHESWICK CT, PARKER, TX 75002-3027
(662) 374-3006

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1350316
TX
2255A2300X
Athletic Trainer
AT0925
MS

Other

Enumeration date
04/28/2021
Last updated
08/03/2022
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