National Provider Identifier

Jean M Kovach, PT

Jean M Kovach, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 478-4447.

NPI 1366689614Lockport, NYPhysical Therapist

Profile Overview

NPI
1366689614
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 08, 2009
Last Updated
January 08, 2009

Practice Location

  • 28 Harding Ave.
  • Lockport Early Childhood Program
  • Lockport, NY 14094

Phone: (716) 478-4447

Mailing Address

  • 4853 Upper Mountain RD
  • Lockport, NY 14094-9632

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1366689614
Entity Type
Individual
Last Name
Kovach
First Name
Jean
Middle Name
M
Name Prefix
Mrs.
Credential
PT
Provider Other Last Name
Hufnagel
Provider Other First Name
Jean
Provider Other Middle Name
M
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
PT
Provider Other Last Name Type Code
1
Mailing Street Address
4853 Upper Mountain RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9632
Mailing Country
US
Mailing Phone
(716) 439-5886
Practice Street Address
28 Harding Ave.
Practice Address Line 2
Lockport Early Childhood Program
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094
Practice Country
US
Practice Phone
(716) 478-4447
Practice Fax
(716) 478-4427
Enumeration Date
January 08, 2009
Last Updated
January 08, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)