Individual
BRYAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
Mailing address
1050 WELLNESS PL APT 2134, HENDERSON, NV 89011-2350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2898
NV
225X00000X
Occupational Therapist
OTH-008082
AZ
Other
Enumeration date
03/23/2020
Last updated
05/09/2022
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