Individual
ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
9 POPE ST, NEW BEDFORD, MA 02740-5425
(508) 997-3358
Mailing address
19 ERNEST ST, COVENTRY, RI 02816-7334
(401) 821-0527
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
122387
MA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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