Individual
MR. FREDERICK JOHN GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
(508) 427-7746
Mailing address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
(508) 427-7746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3196
MA
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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