Individual
KATHERINE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
150 N WILLOW ST, SUITE 15, KENAI, AK 99611-7701
(907) 262-5730
Mailing address
PO BOX 3756, SOLDOTNA, AK 99669-3756
(907) 262-5730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
361
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT2292
—
AK
Enumeration date
03/12/2007
Last updated
07/08/2007
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