National Provider Identifier
Jessica Daugherty, OTR/L
Jessica Daugherty, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 816-7603.
Profile Overview
- NPI
- 1861733644
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 04, 2013
- Last Updated
- September 01, 2022
Practice Location
- 646 E Delavan Ave
- Buffalo, NY 14215-3012
Phone: (716) 816-7603
Mailing Address
- 57 Mosside Loop
- West Seneca, NY 14224-3370
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1861733644
- Entity Type
- Individual
- Last Name
- Daugherty
- First Name
- Jessica
- Credential
- OTR/L
- Mailing Street Address
- 57 Mosside Loop
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3370
- Mailing Country
- US
- Mailing Phone
- (585) 750-3061
- Practice Street Address
- 646 E Delavan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3012
- Practice Country
- US
- Practice Phone
- (716) 816-7603
- Enumeration Date
- March 04, 2013
- Last Updated
- September 01, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 01, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)