Individual
MATTHEW GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
105 BLANCHARD ST, WEST MONROE, LA 71291-7369
(318) 398-9940
Mailing address
607 DARBONNE VIEW DR, WEST MONROE, LA 71291-4714
(318) 267-5662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200718
LA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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