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Individual

CAIT LYNN GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Mailing address
1421 LONDON AVE, LINCOLN PARK, MI 48146-3354
(517) 331-4899

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501015284
MI

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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