Individual
RICHARD LOUIS GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5001 W PAULINE WHITAKER PKWY STE 120, ROGERS, AR 72758-7341
(479) 202-0337
(479) 202-0338
Mailing address
5001 W PAULINE WHITAKER PKWY, STE 120, ROGERS, AR 72758-7341
(479) 202-0337
(479) 202-0338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3581
AR
2251S0007X
Sports Physical Therapist
PT3581
AR
2251X0800X
Orthopedic Physical Therapist
PT3581
AR
Other
Enumeration date
06/26/2013
Last updated
02/06/2020
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