National Provider Identifier
Jennifer Gollus, M.S., OTR/L
Jennifer Gollus, M.S., OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Gowanda, NY and a listed phone number of (716) 532-3325.
Profile Overview
- NPI
- 1396014783
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- December 14, 2011
- Last Updated
- February 26, 2016
Practice Location
- 10674 Prospect St
- Gowanda, NY 14070-1344
Phone: (716) 532-3325
Mailing Address
- 7212 Tricia Ln
- Boston, NY 14025-9641
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1396014783
- Entity Type
- Individual
- Last Name
- Gollus
- First Name
- Jennifer
- Credential
- M.S., OTR/L
- Mailing Street Address
- 7212 Tricia Ln
- Mailing City
- Boston
- Mailing State
- NY
- Mailing ZIP Code
- 14025-9641
- Mailing Country
- US
- Practice Street Address
- 10674 Prospect St
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070-1344
- Practice Country
- US
- Practice Phone
- (716) 532-3325
- Enumeration Date
- December 14, 2011
- Last Updated
- February 26, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)