Individual
REBECCA L GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
783 ENTRY MOUNTAIN RD, FRANKLIN, WV 26807-7710
(419) 504-9296
Mailing address
783 ENTRY MOUNTAIN RD, FRANKLIN, WV 26807-7710
(419) 504-9296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001731
WV
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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