National Provider Identifier
Jessica Everhart, OTR/L
Jessica Everhart, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Williamson, NY and a listed phone number of (315) 589-9661.
Profile Overview
- NPI
- 1417734682
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 12, 2023
- Last Updated
- September 12, 2023
Practice Location
- 4148 Miller St
- Williamson, NY 14589-9713
Phone: (315) 589-9661
Mailing Address
- 4307 Ridge RD
- Williamson, NY 14589-9374
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1417734682
- Entity Type
- Individual
- Last Name
- Everhart
- First Name
- Jessica
- Credential
- OTR/L
- Mailing Street Address
- 4307 Ridge RD
- Mailing City
- Williamson
- Mailing State
- NY
- Mailing ZIP Code
- 14589-9374
- Mailing Country
- US
- Mailing Phone
- (315) 879-4149
- Practice Street Address
- 4148 Miller St
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589-9713
- Practice Country
- US
- Practice Phone
- (315) 589-9661
- Enumeration Date
- September 12, 2023
- Last Updated
- September 12, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)