National Provider Identifier

Jordan Elizabeth Davis

Jordan Elizabeth Davis is listed in the NPPES registry with a primary specialty of Occupational Therapist in Gasport, NY and a listed phone number of (716) 735-2000.

NPI 1043728223Gasport, NYOccupational Therapist

Profile Overview

NPI
1043728223
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
January 22, 2018
Last Updated
January 22, 2018

Practice Location

  • 4500 Orchard Pl
  • Gasport, NY 14067-9208

Phone: (716) 735-2000

Mailing Address

  • 125 Woodstream Dr
  • Grand Island, NY 14072-1490

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1043728223
Entity Type
Individual
Last Name
Davis
First Name
Jordan
Middle Name
Elizabeth
Mailing Street Address
125 Woodstream Dr
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1490
Mailing Country
US
Practice Street Address
4500 Orchard Pl
Practice City
Gasport
Practice State
NY
Practice ZIP Code
14067-9208
Practice Country
US
Practice Phone
(716) 735-2000
Enumeration Date
January 22, 2018
Last Updated
January 22, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)