Individual
CHELSEA NICHOLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA06297
Contact information
Practice address
4375 S COUNTY ROAD 25A, TIPP CITY, OH 45371-2956
(937) 667-7500
Mailing address
4608 OLDE PARK DR, TIPP CITY, OH 45371-9193
(937) 974-1872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06297
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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