Individual
MRS. CHANDRA LEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
1006 LEAGUE RD, LEWISVILLE, TX 75067-9601
(972) 571-4071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109074
TX
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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