Gardner, Dave

Gardner, Dave is an individual health care provider with primary practice located at 1781 North Commons Loop , Tuscaloosa AL 35406-3577. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gardner, Dave can be contacted via phone (205) 752-0845.

Contact Information

Primary practice address
1781 North Commons Loop Tuscaloosa AL 35406-3577
Phone: (205) 752-0845
Fax: (205) 752-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH763 Alabama

Profile Details

NPI number 1043421134
LBN Legal business name Gardner, Dave
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 3rd, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043421134 NPPES
Alabama Other PTA763 ALABAMA PT LICENSE NUMBER
Alabama Other 51527979 ALABAMA PT LICENSE NUMBER

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