Gardom, Rebecca Lynn

Gardom, Rebecca Lynn is an individual health care provider with primary practice located at 4505 S Pagosa Cir , Aurora CO 80015-1920. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind is her primary health care specialty. Gardom, Rebecca Lynn can be contacted via phone (928) 245-3164.

Contact Information

Primary practice address
4505 S Pagosa Cir Aurora CO 80015-1920
Phone: (928) 245-3164
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider 225CX0006X 22576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X 5781 Arizona

Profile Details

NPI number 1407539927
LBN Legal business name Gardom, Rebecca Lynn
Credentials MATVI, CLVT, COMS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - about 2 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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