Individual
JESSY W GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, OTR/L, CHT
Contact information
Practice address
3547 HAWTHORNE DR, CENTER VALLEY, PA 18034-9713
(215) 779-7809
Mailing address
3547 HAWTHORNE DR, CENTER VALLEY, PA 18034-9713
(215) 779-7809
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC011044
PA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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