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Frederick Gardiner, PTA
NPI 1871899419 · on the registry since 2011 · sole proprietor
Practice
- Address
- 804 Pleasant St
Brockton, MA 02301 - Phone
- (508) 583-6000
- Fax
- (508) 427-7746
- Organisation at this address
- Alliance Health Of Brockton, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts