National Provider Identifier
Jessica Maxwell, DPT
Jessica Maxwell, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 362-1552.
Profile Overview
- NPI
- 1407438609
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 27, 2021
- Last Updated
- April 27, 2021
Practice Location
- 100 College Pkwy Ste 101
- Williamsville, NY 14221-6885
Phone: (716) 362-1552
Mailing Address
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1407438609
- Entity Type
- Individual
- Last Name
- Maxwell
- First Name
- Jessica
- Credential
- DPT
- Mailing Street Address
- 2900 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2309
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Practice Street Address
- 100 College Pkwy Ste 101
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6885
- Practice Country
- US
- Practice Phone
- (716) 362-1552
- Enumeration Date
- April 27, 2021
- Last Updated
- April 27, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 27, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)