National Provider Identifier

Stephanie M Rupple, COTA/L

Stephanie M Rupple, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1356019996Kenmore, NYOccupational Therapy Assistant

Profile Overview

NPI
1356019996
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 30, 2021
Last Updated
August 30, 2021

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 9059 Genesee RD
  • East Concord, NY 14055-9765

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1356019996
Entity Type
Individual
Last Name
Rupple
First Name
Stephanie
Middle Name
M
Name Prefix
MS.
Credential
COTA/L
Mailing Street Address
9059 Genesee RD
Mailing City
East Concord
Mailing State
NY
Mailing ZIP Code
14055-9765
Mailing Country
US
Mailing Phone
(716) 444-8206
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
August 30, 2021
Last Updated
August 30, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)