Provider Demographics
NPI:1871557694
Name:GARLAND, WENDY JENSEN (OTR/L)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:JENSEN
Last Name:GARLAND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 PICKENS COURT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730
Mailing Address - Country:US
Mailing Address - Phone:803-327-1190
Mailing Address - Fax:803-325-2389
Practice Address - Street 1:425 PICKENS CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-4633
Practice Address - Country:US
Practice Address - Phone:803-327-1190
Practice Address - Fax:803-325-2389
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC260225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist