Ms Mary Geraldine Gardner, PT is a
Physical Therapist based in Bozrah, Connecticut. Ms Mary Geraldine Gardner is licensed to practice in Connecticut (license number 04587) and her current practice location is
441 Salem Tpke, Bozrah, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 885-6240.
NPI number for Ms Mary Geraldine Gardner is 1952529901 and her current mailing address is 85a Fairhaven Rd, Niantic, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952529901.
Healthcare Provider's Profile
Full Name | Ms Mary Geraldine Gardner |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 441 Salem Tpke, Bozrah, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952529901
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Mary Geraldine Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952529901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 04587 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Geraldine Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Geraldine Gardner, PT 85a Fairhaven Rd, Niantic, CT 06357-1739 Ph: (860) 739-8945 | Ms Mary Geraldine Gardner, PT 441 Salem Tpke, Bozrah, CT 06334-1517 Ph: (860) 885-6240 |
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