National Provider Identifier

Jennifer M Reese, OTR/L

Jennifer M Reese, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Depew, NY and a listed phone number of (716) 864-1518.

NPI 1346544012Depew, NYPediatric Occupational Therapist

Profile Overview

NPI
1346544012
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
January 10, 2011
Last Updated
October 29, 2012

Practice Location

  • 148 Sebring Dr
  • Depew, NY 14043-4708

Phone: (716) 864-1518

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1346544012
Entity Type
Individual
Last Name
Reese
First Name
Jennifer
Middle Name
M
Credential
OTR/L
Provider Other Last Name
Pieczonka
Provider Other First Name
Jennifer
Provider Other Middle Name
M
Provider Other Credential Text
OTR
Provider Other Last Name Type Code
1
Mailing Street Address
148 Sebring Dr
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-4708
Mailing Country
US
Practice Street Address
148 Sebring Dr
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-4708
Practice Country
US
Practice Phone
(716) 864-1518
Enumeration Date
January 10, 2011
Last Updated
October 29, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)