National Provider Identifier

Miranda Jobson

Miranda Jobson is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1235977620Kenmore, NYPediatric Occupational Therapist

Profile Overview

NPI
1235977620
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
July 18, 2024
Last Updated
July 18, 2024

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 333 Wellington Ave
  • Tonawanda, NY 14223-2517

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1235977620
Entity Type
Individual
Last Name
Jobson
First Name
Miranda
Mailing Street Address
333 Wellington Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-2517
Mailing Country
US
Mailing Phone
(716) 936-0058
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
July 18, 2024
Last Updated
July 18, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)