National Provider Identifier

Shawn Gardner, OTR/L

Shawn Gardner, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Horseheads, NY and a listed phone number of (607) 857-4909.

NPI 1174847883Horseheads, NYOccupational Therapist

Profile Overview

NPI
1174847883
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
March 24, 2010
Last Updated
March 24, 2010

Practice Location

  • 546 Veteran Hill RD
  • Horseheads, NY 14845-7265

Phone: (607) 857-4909

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1174847883
Entity Type
Individual
Last Name
Gardner
First Name
Shawn
Credential
OTR/L
Mailing Street Address
546 Veteran Hill RD
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-7265
Mailing Country
US
Mailing Phone
(607) 857-4909
Practice Street Address
546 Veteran Hill RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-7265
Practice Country
US
Practice Phone
(607) 857-4909
Enumeration Date
March 24, 2010
Last Updated
March 24, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)
Other Identifiers
02729151 (NY)