Individual
JESSICA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
Mailing address
1019 FIELD SWALLOW WAY, CLOVER, SC 29710-8882
(803) 627-3862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
.6790
SC
225X00000X
Occupational Therapist
Primary
15781
NC
Other
Enumeration date
03/29/2023
Last updated
02/28/2025
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