Individual
DEBORAH P. GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC, CHT
Contact information
Practice address
214 CORNELIA ST, SUITE 103, PLATTSBURGH, NY 12901-2317
(518) 314-3371
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-4616
(518) 562-7918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003967
CT
225100000X
Physical Therapist
010142-1
NY
2251H1200X
Hand Physical Therapist
003967
CT
2251H1200X
Hand Physical Therapist
Primary
010142-1
NY
2255A2300X
Athletic Trainer
000299
CT
2255A2300X
Athletic Trainer
002607-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004132015
—
CT
Enumeration date
06/15/2006
Last updated
10/04/2016
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