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Joan Gardner, PT aide

Physical Therapy Assistant in Burlington, VT. Individual provider (NPI-1).

NPI number1881752004
StatusActive
Last updated in NPPESNov 14, 2007

Details

NPI
1881752004
Entity type
Individual (NPI-1)
Name
Joan Gardner
Credential
PT aide
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2006
Last updated
Nov 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant041-0000330VTYes

Practice location

1127 North Ave
Burlington, VT 05401-2757

Phone 802-863-4243

Mailing address

151 Blair Park Rd
Po Box 1064
Williston, VT 05495-7435

Phone 802-879-0909 · Fax 802-879-3095

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