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Individual

PAULINE G GARDINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
11 MENOTOMY ROCKS DR, ARLINGTON, MA 02476-7807
(781) 648-7111
Mailing address
11 MENOTOMY ROCKS DR, ARLINGTON, MA 02476-7807
(781) 648-7111

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6039
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6039
STATE OT LICENSE
MA
Enumeration date
01/31/2007
Last updated
07/08/2007
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