Individual
LUCIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3700 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3450
(614) 457-1100
Mailing address
437 E SOUTHERN AVE, BUCYRUS, OH 44820-3203
(419) 362-5122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007636
OH
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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