National Provider Identifier
Jeannie Phearsdorf, OTA
Jeannie Phearsdorf, OTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Olean, NY and a listed phone number of (716) 373-2600.
Profile Overview
- NPI
- 1417166745
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 515 Main St
- Olean, NY 14760-1513
Phone: (716) 373-2600
Mailing Address
- 2515 N Nine Mile RD
- Allegany, NY 14706-9767
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1417166745
- Entity Type
- Individual
- Last Name
- Phearsdorf
- First Name
- Jeannie
- Credential
- OTA
- Mailing Street Address
- 2515 N Nine Mile RD
- Mailing City
- Allegany
- Mailing State
- NY
- Mailing ZIP Code
- 14706-9767
- Mailing Country
- US
- Mailing Phone
- (716) 373-4060
- Practice Street Address
- 515 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 373-2600
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)