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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043421134 | NPPES |
| Alabama | Other | PTA763 | ALABAMA PT LICENSE NUMBER |
| Alabama | Other | 51527979 | ALABAMA PT LICENSE NUMBER |
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