National Provider Identifier
Jeannine Ann Haak, COTA
Jeannine Ann Haak, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Orchard Park, NY and a listed phone number of (716) 667-9377.
Profile Overview
- NPI
- 1821649377
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 26, 2019
- Last Updated
- September 26, 2019
Practice Location
- 6455 West Quaker Street
- Orchard Park, NY 14127
Phone: (716) 667-9377
Mailing Address
- 76 Robert Dr
- Lancaster, NY 14086-2818
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1821649377
- Entity Type
- Individual
- Last Name
- Haak
- First Name
- Jeannine
- Middle Name
- Ann
- Credential
- COTA
- Mailing Street Address
- 76 Robert Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-2818
- Mailing Country
- US
- Mailing Phone
- (716) 863-5857
- Practice Street Address
- 6455 West Quaker Street
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 667-9377
- Enumeration Date
- September 26, 2019
- Last Updated
- September 26, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)