National Provider Identifier

Cortney Lynn Wiedemann, COTA/L

Cortney Lynn Wiedemann, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Olean, NY and a listed phone number of (716) 372-0594.

NPI 1164173381Olean, NYOccupational Therapy Assistant

Profile Overview

NPI
1164173381
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
January 11, 2022
Last Updated
January 11, 2022

Practice Location

  • 1626 Washington St
  • Olean, NY 14760-1935

Phone: (716) 372-0594

Mailing Address

  • 13000 Hawks Hill RD
  • Holland, NY 14080-9769

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1164173381
Entity Type
Individual
Last Name
Wiedemann
First Name
Cortney
Middle Name
Lynn
Credential
COTA/L
Mailing Street Address
13000 Hawks Hill RD
Mailing City
Holland
Mailing State
NY
Mailing ZIP Code
14080-9769
Mailing Country
US
Mailing Phone
(716) 249-7193
Practice Street Address
1626 Washington St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1935
Practice Country
US
Practice Phone
(716) 372-0594
Enumeration Date
January 11, 2022
Last Updated
January 11, 2022
Sex
Female
Sole Proprietor
No
Certification Date
January 11, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)