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Contact Information

MARA A GARDNER
2101 COLLIER CORP PARKWAY
SAINT CHARLES, MO63303
 Phone: 636-916-3104
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARA A GARDNER

NPI Number 1144384884
LBN Legal business name MARA A GARDNER
Authorized official MARA GARDNER - (PRESIDENT)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers
MO License # 01549
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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