Stacy Lynn Gardner, COTA/L
NPI #1518570811 in Woodland, Pennsylvania
Provider Information
- NPI Number
- 1518570811
- Entity Type
- Individual
- Name
- Stacy Lynn Gardner, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Aug 26, 2020
Practice Location
- Address
- 384 MAIN ST
- City
- Woodland
- State
- Pennsylvania
- ZIP Code
- 16881-7802
- Phone
- (814) 592-1626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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