Individual
CELESTE ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1735 RICHARD DR, RM. 123B, BILOXI, MS 39532-4400
(228) 392-0228
(228) 392-0229
Mailing address
1735 RICHARD DR, RM. 123B, BILOXI, MS 39532-4400
(228) 392-0228
(228) 392-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0857
MS
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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