Individual
MR. CHARLES N GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1056 MINE 10 RD, BECCARIA, PA 16616-9716
(814) 577-7543
Mailing address
1056 MINE 10 RD, BECCARIA, PA 16616-9716
(814) 577-7543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009265
PA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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