Shawn Gardiner

NPI #1487021085 in Appleton, Wisconsin

Provider Information

NPI Number: 1487021085
Entity Type: Individual
Name: Shawn Gardiner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 3300 W BREWSTER ST
City: Appleton
State: Wisconsin
ZIP Code: 54914-1699
Phone: (920) 832-1657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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