National Provider Identifier

Jesse Ryan Ernewein, COTA/L

Jesse Ryan Ernewein, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Olean, NY and a listed phone number of (716) 375-7481.

NPI 1407374358Olean, NYOccupational Therapy Assistant

Profile Overview

NPI
1407374358
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 30, 2017
Last Updated
July 21, 2022

Practice Location

  • 515 Main St
  • Olean, NY 14760-1513

Phone: (716) 375-7481

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1407374358
Entity Type
Individual
Last Name
Ernewein
First Name
Jesse
Middle Name
Ryan
Credential
COTA/L
Mailing Street Address
515 Main St
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1513
Mailing Country
US
Mailing Phone
(716) 375-7481
Practice Street Address
515 Main St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1513
Practice Country
US
Practice Phone
(716) 375-7481
Enumeration Date
August 30, 2017
Last Updated
July 21, 2022
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)