Individual
JOHN M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1304 MCLEES RD, ANDERSON, SC 29621-3345
(864) 964-9088
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2183
SC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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