Individual
MARIA A GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
42248 MENDEL DR, STERLING HEIGHTS, MI 48313-2582
(586) 909-0008
Mailing address
42248 MENDEL DR, STERLING HEIGHTS, MI 48313-2582
(586) 909-0008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007904
MI
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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