MEDICARE: MRS. VENICE MAE GARDNER OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31001775A	IN

General Provider Information

NPI Number	:	1417234170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VENICE MAE GARDNER OTR

Provider Business Mailing Address
First Line	:	5914 GRANDIOSE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-4308
Country	:	US
Telephone Number	:	317-257-7688
Fax Number	:

Provider Business Practice Location Address
First Line	:	5914 GRANDIOSE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-4308
Country	:	US
Telephone Number	:	317-257-7688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2011
Last Update Date	:	11/09/2011

Similar Medicare Providers

1154954972 — DR. JAMES MCCLUSKEY DC
Practice Location Address:

5935 GRANDIOSE DR
INDIANAPOLIS, IN
46228-4308

Practice Phone: 207-216-0155
Practice Fax:

1306690961 — MRS. PATRICIA ANN HARRIS
Practice Location Address:

5946 GRANDIOSE DR
INDIANAPOLIS, IN
46228-4308

Practice Phone: 317-362-3613
Practice Fax:

1700739893 — JASMINE DIANE WOODS LPN
Practice Location Address:

3737 N MERIDIAN ST STE 506
INDIANAPOLIS, IN
46208-4308

Practice Phone: 317-909-3029
Practice Fax:

1265571939 — INDY MEDICAL SUPPLY SERVICES
Practice Location Address:

3737 NORTH MERIDIAN STREET , SUITE 503
INDIANAPOLIS, IN
46208-4308

Practice Phone: 317-280-8315
Practice Fax: 317-280-8355

1003133240 — LCP MEDICAL DIRECT LLC
Practice Location Address:

4308 GUION RD STE A
INDIANAPOLIS, IN
46254-3143

Practice Phone: 765-749-3791
Practice Fax: 317-388-9151

1063865137 — T.C.S LLC A LCP TRANSPORTATION COMPANY
Practice Location Address:

4308 GUION RD
INDIANAPOLIS, IN
46254-3142

Practice Phone: 317-522-0600
Practice Fax:

Directions to “ MRS. VENICE MAE GARDNER OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.