National Provider Identifier
Jennifer Anne Kozemko, OTR/L, CLT
Jennifer Anne Kozemko, OTR/L, CLT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Waverly, NY and a listed phone number of (607) 565-6298.
Profile Overview
- NPI
- 1427209121
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 01, 2008
- Last Updated
- November 11, 2019
Practice Location
- 37 N Chemung St
- Waverly, NY 14892-1211
Phone: (607) 565-6298
Specialties
- Occupational Therapist (225X00000X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1427209121
- Entity Type
- Individual
- Last Name
- Kozemko
- First Name
- Jennifer
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- OTR/L, CLT
- Provider Other Last Name
- Nesbitt
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Anne
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 37 N Chemung St
- Mailing City
- Waverly
- Mailing State
- NY
- Mailing ZIP Code
- 14892-1211
- Mailing Country
- US
- Mailing Phone
- (607) 565-6298
- Mailing Fax
- (607) 565-6261
- Practice Street Address
- 37 N Chemung St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1211
- Practice Country
- US
- Practice Phone
- (607) 565-6298
- Practice Fax
- (607) 565-6261
- Enumeration Date
- October 01, 2008
- Last Updated
- November 11, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)