Individual
ALLISON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7818
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017707
NY
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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