Individual
MR. TODD A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2233 NORTH 830 WEST, WEST BOUNTIFUL, UT 84087
(801) 916-6566
(801) 295-6568
Mailing address
2233 NORTH 830 WEST, WEST BOUNTIFUL, UT 84087
(801) 916-6566
(801) 295-6568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2852642402
UT
225200000X
Physical Therapy Assistant
PTA-266
ID
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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