Most Relevant Information
Provider Data
| NPI Number: | 1003242397 |
| Provider Name: | ADREA L GARDNER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501016492 |
Most Important Dates
| Enumeration Date: | 09/19/2013 |
| Last Updated: | 09/19/2013 |
Provider Practice Location
1096 S BELSAY RD
SUITE G
BURTON
MI
485091948
Practice Location Phone/Fax
| Phone: | 8882184045 |
| Fax: | 8102494230 |
Provider Mailing Location
1096 S BELSAY RD
SUITE G
BURTON
MI
485091948
Provider Mailing Phone/Fax
| Phone: | 8882184045 |
| Fax: | 8102494230 |