Individual
BRANDILYN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 BRIGGS ST, SAN ANTONIO, TX 78224-1286
(210) 226-9536
Mailing address
419 GREENWICH BLVD, SAN ANTONIO, TX 78209-3919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102988
TX
Other
Enumeration date
03/20/2007
Last updated
11/03/2011
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