Individual
BEATRICE GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SOUTHWOOD DR, ROCKWALL, TX 75032-5695
(469) 338-7957
Mailing address
142 SOUTHWOOD DR, ROCKWALL, TX 75032-5695
(469) 338-7957
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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