National Provider Identifier
Jennifer A Mong, OTR
Jennifer A Mong, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 580-7360.
Profile Overview
- NPI
- 1144483074
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 10, 2008
- Last Updated
- December 23, 2019
Practice Location
- 705 Maple RD Ste 100
- Buffalo, NY 14221-3291
Phone: (716) 580-7360
Mailing Address
- 400 Sherbrooke Ave
- Williamsville, NY 14221-3415
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1144483074
- Entity Type
- Individual
- Last Name
- Mong
- First Name
- Jennifer
- Middle Name
- A
- Credential
- OTR
- Mailing Street Address
- 400 Sherbrooke Ave
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3415
- Mailing Country
- US
- Mailing Phone
- (716) 880-4529
- Practice Street Address
- 705 Maple RD Ste 100
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-3291
- Practice Country
- US
- Practice Phone
- (716) 580-7360
- Enumeration Date
- July 10, 2008
- Last Updated
- December 23, 2019
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 23, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)