Individual
MRS. EMILY BROOKS GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1624 HIGHLAND DR, WASHINGTON, NC 27889-8761
(252) 946-9570
(252) 946-3715
Mailing address
303 E SIMMONS AVE, WILLIAMSTON, NC 27892-1847
(252) 792-1652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
NC2612
NC
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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