National Provider Identifier
Kenzie Alisse Hauser, COTA
Kenzie Alisse Hauser, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 874-8656.
Profile Overview
- NPI
- 1073377016
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- February 09, 2024
- Last Updated
- February 09, 2024
Practice Location
- 255 Myron Ave
- Buffalo, NY 14217-2440
Phone: (716) 874-8656
Mailing Address
- 2211 Woodsfield Dr
- Lake View, NY 14085-9418
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1073377016
- Entity Type
- Individual
- Last Name
- Hauser
- First Name
- Kenzie
- Middle Name
- Alisse
- Credential
- COTA
- Mailing Street Address
- 2211 Woodsfield Dr
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9418
- Mailing Country
- US
- Mailing Phone
- (716) 491-2453
- Practice Street Address
- 255 Myron Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14217-2440
- Practice Country
- US
- Practice Phone
- (716) 874-8656
- Enumeration Date
- February 09, 2024
- Last Updated
- February 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)