Gardner, Mark Owen
Gardner, Mark Owen is an individual health care provider with primary practice located at 505 E 3Rd Ave Ste B , Spokane WA 99202-1426. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Gardner, Mark Owen can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
505 E 3Rd Ave Ste B
Spokane WA 99202-1426
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 60484207 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT60484207 | Washington |
Profile Details
| NPI number | 1225432354 |
|---|---|
| LBN Legal business name | Gardner, Mark Owen |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2014 |
| Last updated | Nov 7th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225432354 | NPPES |
| Washington | MEDICAID | 201242483WA |
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