Brooke M Gardner, PT, AT

NPI #1235440553 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1235440553
Entity Type: Individual
Name: Brooke M Gardner, PT, AT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, AT
Enumeration Date: Jul 1, 2010
Last Updated: Nov 15, 2014

Practice Location

Address: 421 CAMELOT DR
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-8335
Phone: (920) 923-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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