| Doctor Name: | MR. ROBERT EMIL GARDNER |
| NPI Number: | 1609175892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED |
| License Number: | N/A |
| Business Practice Address: | Va Maryland Health Care System Recreational Therapy Perry Point, MD - 21902 |
| Business Phone Number: | 4106422411 |
| Business Fax Number: | |
| Mailing Address: | 9 Tulip Poplar Ct, ROSEDALE |
| State: | MD |
| Postal Code: | 212373376 |
| Phone Number: | 4436177861 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2011 |
| NPI Last Update Date: | 03/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225800000X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Recreation Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |