Individual provider · Type 1 NPI

Krysta T. Gardner

Occupational Therapist · Fairfax, VA

NPI number 1720518152 Active

Practice location

10701 Main St
Fairfax, VA 22030-6904

Mailing address

42970 Cedar Springs Ct
Broadlands, VA 20148-4012

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119007304 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1720518152

Krysta T. Gardner's National Provider Identifier is 1720518152, issued on Jun 18, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fairfax, VA. The record was last updated on Jun 18, 2017.