National Provider Identifier

Brianna Klubek, COTA/L

Brianna Klubek, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1861169682Kenmore, NYOccupational Therapy Assistant

Profile Overview

NPI
1861169682
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
August 28, 2021
Last Updated
August 28, 2021

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 3957 Schintzius RD
  • Eden, NY 14057-9792

Specialties

  • Occupational Therapy Assistant (224Z00000X)

Endpoints

  • bklubek16@gmail.com

    Soap Url | Kenmore, NY 14217

Full Record
NPI
1861169682
Entity Type
Individual
Last Name
Klubek
First Name
Brianna
Credential
COTA/L
Mailing Street Address
3957 Schintzius RD
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-9792
Mailing Country
US
Mailing Phone
(716) 512-4280
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
August 28, 2021
Last Updated
August 28, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
August 28, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)