Jennifer Gardner LPTA

NPI 1073863569 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1073863569
Gender Female
Enumeration Date 09/12/2012
Last Updated 09/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1901 TATE SPRINGS RD SUITE 16
LYNCHBURG VA, 24501, US
Phone (434) 200-5407
Fax
Business Location
102 NEW KENT DRIVE
GOODE VA, 24556, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Virginia
License Number 2306601823
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According to our database, Mrs. Jennifer Gardner LPTA NPI is 1073863569, taxonomy code is 225200000X and license number is 2306601823, license state is located at Virginia. Jennifer Gardner LPTA physically located at 1901 Tate Springs Rd Suite 16, Lynchburg VA, 24501. NPI Number Jennifer Gardner LPTA has the Individual type.

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1073863569 NPI number is provided on an as is basis without warranty of any kind. 1073863569 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Gardner LPTA are for informational purposes only.