Doctor Name: | CELESTE ANN GARDNER |
NPI Number: | 1396073110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT0857 |
Business Practice Address: | 1735 Richard Dr Rm. 123b Biloxi, MS - 395324400 |
Business Phone Number: | 2283920228 |
Business Fax Number: | 2283920229 |
Mailing Address: | 1735 Richard Dr, Rm. 123b BILOXI |
State: | MS |
Postal Code: | 395324400 |
Phone Number: | 2283920228 |
Fax Number: | 2283920229 |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT0857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |