Most Relevant Information
Provider Data
| NPI Number: | 1003252024 |
| Provider Name: | MARC GARDNER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1210343 |
Most Important Dates
| Enumeration Date: | 05/16/2013 |
| Last Updated: | 05/16/2013 |
Provider Practice Location
6213 SKYLINE DR
#200
HOUSTON
TX
770577036
Practice Location Phone/Fax
| Phone: | 7138804400 |
| Fax: | 7138698637 |
Provider Mailing Location
6213 SKYLINE DR
#200
HOUSTON
TX
770577036
Provider Mailing Phone/Fax
| Phone: | 7138804400 |
| Fax: | 7138698637 |