Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 00015668 | OH |
NPI | 1093837700 |
---|---|
Provider Name | Lynda Gardner |
First Address | Milford, OH 45150-2286 |
Second Address | Milford, OH 45150-2286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |