National Provider Identifier
Jennifer Ann Maciag, COTA
Jennifer Ann Maciag, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Lancaster, NY and a listed phone number of (716) 681-0454.
Profile Overview
- NPI
- 1629374665
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- February 09, 2011
- Last Updated
- September 27, 2011
Practice Location
- 455 Central Ave
- Lancaster, NY 14086-1252
Phone: (716) 681-0454
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1629374665
- Entity Type
- Individual
- Last Name
- Maciag
- First Name
- Jennifer
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- COTA
- Mailing Street Address
- 455 Central Ave
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-1252
- Mailing Country
- US
- Mailing Phone
- (716) 681-0454
- Practice Street Address
- 455 Central Ave
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-1252
- Practice Country
- US
- Practice Phone
- (716) 681-0454
- Enumeration Date
- February 09, 2011
- Last Updated
- September 27, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)