National Provider Identifier

Jennifer Anne Lane, COTA

Jennifer Anne Lane, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Hamburg, NY and a listed phone number of (716) 648-7061.

NPI 1669670717Hamburg, NYOccupational Therapy Assistant

Profile Overview

NPI
1669670717
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
July 10, 2007
Last Updated
July 10, 2007

Practice Location

  • 4255 Beetow Dr
  • Hamburg, NY 14075-1502

Phone: (716) 648-7061

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1669670717
Entity Type
Individual
Last Name
Lane
First Name
Jennifer
Middle Name
Anne
Credential
COTA
Mailing Street Address
4255 Beetow Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1502
Mailing Country
US
Mailing Phone
(716) 648-7061
Practice Street Address
4255 Beetow Dr
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1502
Practice Country
US
Practice Phone
(716) 648-7061
Enumeration Date
July 10, 2007
Last Updated
July 10, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)