Individual
CASSANDRA JO GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRS/CTRS
Contact information
Practice address
4558 ADAMS AVE, SOUTH OGDEN, UT 84403-4104
(435) 823-3402
Mailing address
4558 ADAMS AVE, SOUTH OGDEN, UT 84403-4104
(435) 823-3402
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
11392749-4002
UT
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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