Gardner, Brooke M

Gardner, Brooke M is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Gardner, Brooke M can be contacted via phone (920) 923-7940.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 923-7940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11523-24 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 927-39 Wisconsin

Profile Details

NPI number 1235440553
LBN Legal business name Gardner, Brooke M
Credentials PT, AT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Nov 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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