Angela G Gardner

NPI #1164674396 in Magnolia, Arkansas

Provider Information

NPI Number: 1164674396
Entity Type: Individual
Name: Angela G Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 301 W CALHOUN
City: Magnolia
State: Arkansas
ZIP Code: 71753-3508
Phone: (870) 234-1597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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