Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Lynn Gardner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1518570811

Stacy Lynn Gardner, COTA/L is an Occupational Therapy Assistant in Woodland, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

384 Main St
Woodland, PA 16881-7802
Phone: (814) 592-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OP007578 (PA)

Record details

NPI number1518570811
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 26, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 25, 2020