Individual
MICHELLE N GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4255 MEDWELL DR., NEWBURGH, IN 47630
(812) 449-9488
Mailing address
3800 ELI PL, NEWBURGH, IN 47630-7436
(812) 449-9488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2007018493
MO
225X00000X
Occupational Therapist
Primary
31004950A
IN
Other
Enumeration date
06/25/2008
Last updated
10/17/2012
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