National Provider Identifier
Jessica Evelyn Brauzer
Jessica Evelyn Brauzer is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 227-4421.
Profile Overview
- NPI
- 1518615327
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 11, 2022
- Last Updated
- March 11, 2022
Practice Location
- 15 Catherwood RD
- Ithaca, NY 14850-1071
Phone: (607) 227-4421
Mailing Address
- 214 Forest Home Dr
- Ithaca, NY 14850-2708
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1518615327
- Entity Type
- Individual
- Last Name
- Brauzer
- First Name
- Jessica
- Middle Name
- Evelyn
- Provider Other Last Name
- Miga
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Evelyn
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 214 Forest Home Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2708
- Mailing Country
- US
- Practice Street Address
- 15 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1071
- Practice Country
- US
- Practice Phone
- (607) 227-4421
- Practice Fax
- (607) 463-0602
- Enumeration Date
- March 11, 2022
- Last Updated
- March 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)