National Provider Identifier
Jessica Lynn Brady, MS OTR/L
Jessica Lynn Brady, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1083999874
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 12, 2011
- Last Updated
- September 28, 2015
Practice Location
- 3767 Delaware Avenue
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 58 Ansley Ct
- West Seneca, NY 14224-2115
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1083999874
- Entity Type
- Individual
- Last Name
- Brady
- First Name
- Jessica
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- MS OTR/L
- Mailing Street Address
- 58 Ansley Ct
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2115
- Mailing Country
- US
- Mailing Phone
- (716) 444-4609
- Practice Street Address
- 3767 Delaware Avenue
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- October 12, 2011
- Last Updated
- September 28, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)