DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. NANCY WOLLA GARDNER OTR/L

MEDICARE: MRS. NANCY WOLLA GARDNER OTR/L
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
1225X00000XOccupational Therapist217SC

General Provider Information

NPI Number : 1659610558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY WOLLA GARDNER OTR/L
Provider Business Mailing Address
First Line : PO BOX 1312
Second Line :
City : FOUNTAIN INN
State : SC
Zip : 29644-1054
Country : US
Telephone Number :
Fax Number : 864-335-9036
Provider Business Practice Location Address
First Line : 204 SHADY PINES CT
Second Line :
City : FOUNTAIN INN
State : SC
Zip : 29644-9785
Country : US
Telephone Number : 864-320-1973
Fax Number : 864-335-9036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2013
Last Update Date : 01/15/2020

Similar Medicare Providers

1730510025 — TRAVIS HEATON COTA/L
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-399-2674
Practice Fax:
1700255056 — HEATON PEDIATRIC THERAPY INC.
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-399-2674
Practice Fax:
1043729577 — KATHARINA FAERBER
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-408-9509
Practice Fax:
1104328707 — MEREDITH MARLOWE OTR/L
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-408-9509
Practice Fax:
1558918185 — ADAM HIGGS COTA/L
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-408-9509
Practice Fax: 864-335-9036
1538716162 — COURTNEY KOZAR OTR/L
Practice Location Address:
204 SHADY PINES CT
FOUNTAIN INN, SC
29644-9785
Practice Phone: 864-408-9509
Practice Fax: 864-335-9036

Directions to “ MRS. NANCY WOLLA GARDNER OTR/L” 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.