Individual
GENEVIEVE LYKE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
76498 DEERWOOD DR, YULEE, FL 32097-1603
(803) 206-0565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31770
FL
Other
Enumeration date
10/18/2016
Last updated
09/07/2021
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