Individual
DR. KEVIN E GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
1601 CHERRY ST, MS 21041, PHILADELPHIA, PA 19102-1320
(215) 553-7012
(215) 553-7019
Mailing address
1601 CHERRY ST, MS 21041, PHILADELPHIA, PA 19102-1320
(215) 553-7012
(215) 553-7019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007722L
PA
2251X0800X
Orthopedic Physical Therapist
Primary
PT007722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001849289
—
PA
01
—
00184928904
AMERICHOICE
PA
01
—
1140267
FIRST HEALTH
PA
01
—
20035880
AMERIHEALTH MERCY
PA
01
—
231352630
HORIZON BC/BS
NJ
01
—
231352630
TRICARE
PA
01
—
3054832
AETNA
PA
01
—
815693
BC/BS
PA
01
—
P2979020
OXFORD
PA
01
—
XY4653
HEALTH NET
PA
Enumeration date
02/17/2006
Last updated
01/13/2017
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