Ralph Gardner, PTA

NPI #1215383963 in Jupiter, Florida

Provider Information

NPI Number: 1215383963
Entity Type: Individual
Name: Ralph Gardner, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: May 12, 2016
Last Updated: May 12, 2016

Practice Location

Address: 5500 MILITARY TRL # 22-310
City: Jupiter
State: Florida
ZIP Code: 33458-2869
Phone: (561) 249-2958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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