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Courtney Gardner, PTA
NPI 1740735109 · on the registry since 2016
Practice
- Address
- 15885 Goddard Rd
Apt 206
Southgate, MI 48195 - Phone
- (801) 425-0459
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan