Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mark Charles Gardner

Individual provider Physical Therapist · NPI 1366354243

Mark Charles Gardner is a Physical Therapist in Loleta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

65 Hillcrest Dr
Loleta, CA 95551-9631
Phone: (707) 497-8424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33641 (CA)

Record details

NPI number1366354243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026