Stacy J Gardner, OT

NPI #1669239133 in Shelley, Idaho

Provider Information

NPI Number
1669239133
Entity Type
Individual
Name
Stacy J Gardner, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OT
Enumeration Date
Mar 1, 2024
Last Updated
Mar 1, 2024

Practice Location

Address
650 N STATE ST STE 5
State
Idaho
ZIP Code
83274-4900
Phone
(208) 428-6079

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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