Individual
ALYSSA MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2776 JANITELL RD, COLORADO SPRINGS, CO 80906-4103
(719) 332-4689
Mailing address
1180 MEDLEY GRV APT 304, COLORADO SPRINGS, CO 80921-4526
(810) 305-2830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007657
CO
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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