Doctor Name: | MRS. CAROL LYNN GARDNER |
NPI Number: | 1013126309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL |
License Number: | OC002813L |
Business Practice Address: | 3735 Easton Nazareth Hwy Suite 302a Easton, PA - 180458338 |
Business Phone Number: | 6102587094 |
Business Fax Number: | 6102586107 |
Mailing Address: | 3735 Easton Nazareth Hwy, Suite 302a EASTON |
State: | PA |
Postal Code: | 180458338 |
Phone Number: | 6102587094 |
Fax Number: | 6102586107 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OC002813L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |