National Provider Identifier

Jeremiah Kane, OTR L

Jeremiah Kane, OTR L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Waverly, NY and a listed phone number of (607) 565-7886.

NPI 1376749515Waverly, NYOccupational Therapist

Profile Overview

NPI
1376749515
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
June 25, 2007
Last Updated
December 03, 2007

Practice Location

  • 231 Weaver RD
  • Waverly, NY 14892-9820

Phone: (607) 565-7886

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
Full Record
NPI
1376749515
Entity Type
Individual
Last Name
Kane
First Name
Jeremiah
Credential
OTR L
Mailing Street Address
231 Weaver RD
Mailing City
Waverly
Mailing State
NY
Mailing ZIP Code
14892-9820
Mailing Country
US
Practice Street Address
231 Weaver RD
Practice City
Waverly
Practice State
NY
Practice ZIP Code
14892-9820
Practice Country
US
Practice Phone
(607) 565-7886
Enumeration Date
June 25, 2007
Last Updated
December 03, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)