Individual
JEREMY DAVID GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
7502 QUAIL MEADOW DR, HOUSTON, TX 77071-2314
(845) 641-0562
Mailing address
7502 QUAIL MEADOW DR, HOUSTON, TX 77071-2314
(845) 641-0562
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25 002833
NY
225X00000X
Occupational Therapist
Primary
115501
TX
Other
Enumeration date
01/07/2009
Last updated
07/26/2016
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