Doctor Name: | MR. GARY W GARDINER |
NPI Number: | 1972533461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | RT000828B |
Business Practice Address: | 3101 Emrick Blvd Suite 112 Bethlehem, PA - 18020 |
Business Phone Number: | 6109975756 |
Business Fax Number: | 6109975762 |
Mailing Address: | 3101 Emrick Blvd, Suite 112 BETHLEHEM |
State: | PA |
Postal Code: | 18020 |
Phone Number: | 6109975756 |
Fax Number: | 6109975762 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | RT000828B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |