Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY LYNN GARDNER, COTA/L
Active Sole ProprietorSTACY LYNN GARDNER, COTA/L is a Occupational Therapy Assistant healthcare provider located in WOODLAND, Pennsylvania. NPI 1518570811 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WOODLAND, PA
Registration Details
- NPI Number
- 1518570811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2020 (5.9835994238326 yrs)
- Last Updated
- Aug 26, 2020
- License
-
OP007578 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
384 MAIN STWOODLAND, PA, 168817802Browse PA providers · Browse ZIP 16881
- Phone
- 8145921626
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.