Individual
CAROLYN E GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 MAIN STREET, MALDEN ON HUDSON, NY 12453-0153
(845) 246-7834
Mailing address
PO BOX 153, 1076 MAIN STREET, MALDEN ON HUDSON, NY 12453-0153
(845) 246-7834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000298-1
NY
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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