Individual
ASHLEY MARTIN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
925 NEW GARDEN RD, GREENSBORO, NC 27410-3233
(336) 369-2559
Mailing address
1237 CROFTON DR, WAXHAW, NC 28173-0150
(704) 519-8980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13340
NC
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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