National Provider Identifier
Jennifer Catherine Stack, OTR/L
Jennifer Catherine Stack, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Tonawanda, NY and a listed phone number of (716) 332-0454.
Profile Overview
- NPI
- 1497904536
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 12, 2008
- Last Updated
- September 12, 2008
Practice Location
- 205 Yorkshire RD
- Tonawanda, NY 14150-8350
Phone: (716) 332-0454
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1497904536
- Entity Type
- Individual
- Last Name
- Stack
- First Name
- Jennifer
- Middle Name
- Catherine
- Name Prefix
- Mrs.
- Credential
- OTR/L
- Mailing Street Address
- 205 Yorkshire RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8350
- Mailing Country
- US
- Mailing Phone
- (716) 332-0454
- Practice Street Address
- 205 Yorkshire RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8350
- Practice Country
- US
- Practice Phone
- (716) 332-0454
- Enumeration Date
- September 12, 2008
- Last Updated
- September 12, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)