Individual
MRS. JUDITH LEFFLER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
295 CAPRI DR, GAINESVILLE, GA 30506-1752
(770) 536-1633
(770) 536-0197
Mailing address
2475 HAWTHORNE LN, GAINESVILLE, GA 30506-1905
(770) 718-9238
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT008231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134284276
NPI CORPORATION ID NUMBER
GA
Enumeration date
04/19/2007
Last updated
07/09/2007
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