National Provider Identifier
Jenna Michelle Wackowski, OT
Jenna Michelle Wackowski, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 854-5700.
Profile Overview
- NPI
- 1801625520
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 31, 2024
- Last Updated
- July 31, 2024
Practice Location
- 700 Michigan Ave
- Buffalo, NY 14203-1536
Phone: (716) 854-5700
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1801625520
- Entity Type
- Individual
- Last Name
- Wackowski
- First Name
- Jenna
- Middle Name
- Michelle
- Credential
- OT
- Mailing Street Address
- 700 Michigan Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1536
- Mailing Country
- US
- Mailing Phone
- (716) 854-5700
- Mailing Fax
- (716) 854-5800
- Practice Street Address
- 700 Michigan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1536
- Practice Country
- US
- Practice Phone
- (716) 854-5700
- Practice Fax
- (716) 854-5800
- Enumeration Date
- July 31, 2024
- Last Updated
- July 31, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 31, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)