Individual
MARITZA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6590 N SPINDRIFT WAY, MERIDIAN, ID 83646-6881
(305) 336-2551
Mailing address
6590 N SPINDRIFT WAY, MERIDIAN, ID 83646-6881
(305) 336-2551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4566
FL
225100000X
Physical Therapist
Primary
PT 4566
FL
Other
Enumeration date
02/12/2008
Last updated
01/20/2023
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