Individual
PAMELA A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4300 MARKET POINTE DR, BLOOMINGTON, MN 55435-5423
(952) 769-1657
Mailing address
902 COUNTY ROAD D W, 311, NEW BRIGHTON, MN 55112-7573
(952) 769-1657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4015
MN
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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