Individual
MS. MARY GERALDINE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
441 SALEM TPKE, BOZRAH, CT 06334-1517
(860) 885-6240
(860) 885-6241
Mailing address
85A FAIRHAVEN RD, NIANTIC, CT 06357-1739
(860) 739-8945
(860) 885-6241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04587
CT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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