Individual
REBEKAH GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC, LMT
Contact information
Practice address
18864 E GERMANN RD, QUEEN CREEK, AZ 85142-7338
(815) 701-8124
Mailing address
455 S RECKER RD APT 2148, GILBERT, AZ 85296-0005
(815) 701-8124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1600
AZ
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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