SearchCalifornia224Z00000X

Kelly Reilly Gardner, COTA/L

NPI 1922333624 · on the registry since 2009 · sole proprietor

Practice

Address
4211 E 4th St Apt 9
Long Beach, CA 90814
Phone
(562) 355-2719

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-14

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 California