National Provider Identifier
Jennifer Lynn Kliszak, C.O.T.A.
Jennifer Lynn Kliszak, C.O.T.A. is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Depew, NY and a listed phone number of (716) 901-5665.
Profile Overview
- NPI
- 1295030617
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 14, 2011
- Last Updated
- April 15, 2022
Practice Location
- 31 Rogers Dr
- Depew, NY 14043-2219
Phone: (716) 901-5665
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1295030617
- Entity Type
- Individual
- Last Name
- Kliszak
- First Name
- Jennifer
- Middle Name
- Lynn
- Name Prefix
- Miss
- Credential
- C.O.T.A.
- Mailing Street Address
- 31 Rogers Dr
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-2219
- Mailing Country
- US
- Mailing Phone
- (716) 901-5665
- Practice Street Address
- 31 Rogers Dr
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2219
- Practice Country
- US
- Practice Phone
- (716) 901-5665
- Enumeration Date
- January 14, 2011
- Last Updated
- April 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)