Individual
JOANNE L GERDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 376-4128
Mailing address
640 SWANSEA DR, MIDDLETOWN, DE 19709-0175
(201) 693-6168
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001293
DE
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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