Individual
MR. DANIEL JAMES GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
801 TOLL HOUSE AVE STE H3, FREDERICK, MD 21701-6117
(240) 575-9260
(240) 575-9380
Mailing address
801 TOLL HOUSE AVE STE H3, FREDERICK, MD 21701-6117
(240) 575-9260
(240) 575-9380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191023
COVENTRY OF DEL
DE
01
—
J1130001
BLUE CHOICE
MD
01
—
KCY2
CAREFIRST MD
MD
Enumeration date
01/05/2007
Last updated
07/04/2016
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