Mara a Gardner
NPI #1144384884 in St. Charles, Missouri
Provider Information
- NPI Number
- 1144384884
- Entity Type
- Organization
- Organization Name
- Mara a Gardner
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2101 COLLIER CORP PARKWAY
- City
- St. Charles
- State
- Missouri
- ZIP Code
- 63303
- Phone
- (636) 916-3104
Authorized Official
- Name
- MARA GARDNER
- Title
- PRESIDENT
- Phone
- (636) 916-3104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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