Individual
KATHRYN LOUISE JASKE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1015 S IOWA AVE, WASHINGTON, IA 52353-1126
(319) 653-7264
Mailing address
1015 S IOWA AVE, WASHINGTON, IA 52353-1126
(319) 653-7264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00191
IA
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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