Individual
EARL BRADEN GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
409 E GREENVILLE AVE STE 200, WINCHESTER, IN 47394-9436
(765) 747-3013
Mailing address
3813 S MADISON ST, MUNCIE, IN 47302-5758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000006A
IN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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