Individual
TERRI S GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2501 E MOORE AVE, SEARCY, AR 72143-4751
(501) 268-5001
Mailing address
750 LUTHERAN CEMETERY RD, BROOKVILLE, PA 15825
(814) 849-2103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A 751
AR
224Z00000X
Occupational Therapy Assistant
Primary
OP007077
PA
Other
Enumeration date
06/28/2011
Last updated
04/19/2013
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