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1801478755
MICHAEL WILLIAM GARDNER
FORT MYERS, FL
NPI
1801478755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA18035)
Enumeration Date
2021-04-21
Last Update Date
2021-04-25
Business Address
Mr. MICHAEL WILLIAM GARDNER COTA/L
3250 WINKLER AVE
FORT MYERS, FL 33916-9414
Phone number: 239-939-4993
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Mailing Address
Mr. MICHAEL WILLIAM GARDNER COTA/L
7322 S BLUE SAGE
PUNTA GORDA, FL 33955-1106
Phone number: 516-680-5764
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