Individual
MR. CHARLES CHESLEY GARDNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, RKT.
Contact information
Practice address
1201 BROAD ROCK BLVD, KT/PM&R/117, RICHMOND, VA 23249-0001
(804) 675-5325
(804) 675-5857
Mailing address
2220 SWANHURST DR, MIDLOTHIAN, VA 23113-9649
(804) 897-3771
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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