National Provider Identifier
Jill Wisniewski, MS OTR/L
Jill Wisniewski, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Tonawanda, NY and a listed phone number of (716) 440-2700.
Profile Overview
- NPI
- 1043806631
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 17, 2020
- Last Updated
- December 17, 2020
Practice Location
- 117 Traverse Blvd
- Tonawanda, NY 14223-1013
Phone: (716) 440-2700
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1043806631
- Entity Type
- Individual
- Last Name
- Wisniewski
- First Name
- Jill
- Name Prefix
- MS.
- Credential
- MS OTR/L
- Mailing Street Address
- 117 Traverse Blvd
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1013
- Mailing Country
- US
- Mailing Phone
- (716) 440-2700
- Practice Street Address
- 117 Traverse Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14223-1013
- Practice Country
- US
- Practice Phone
- (716) 440-2700
- Enumeration Date
- December 17, 2020
- Last Updated
- December 17, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)