National Provider Identifier

Jodi M. Wangelin, COTA

Jodi M. Wangelin, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Yorkshire, NY and a listed phone number of (716) 492-9300.

NPI 1679862486Yorkshire, NYOccupational Therapy Assistant

Profile Overview

NPI
1679862486
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
April 01, 2011
Last Updated
April 01, 2011

Practice Location

  • 12125 Countyline RD
  • Yorkshire, NY 14173

Phone: (716) 492-9300

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1679862486
Entity Type
Individual
Last Name
Wangelin
First Name
Jodi
Middle Name
M.
Credential
COTA
Mailing Street Address
12125 Countyline RD
Mailing City
Yorkshire
Mailing State
NY
Mailing ZIP Code
14173
Mailing Country
US
Mailing Phone
(716) 492-9300
Practice Street Address
12125 Countyline RD
Practice City
Yorkshire
Practice State
NY
Practice ZIP Code
14173
Practice Country
US
Practice Phone
(716) 492-9300
Enumeration Date
April 01, 2011
Last Updated
April 01, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)