National Provider Identifier

Jessica Washburn

Jessica Washburn is listed in the NPPES registry with a primary specialty of Developmental Therapist in Hamburg, NY and a listed phone number of (716) 202-1161.

NPI 1871154047Hamburg, NYDevelopmental Therapist

Profile Overview

NPI
1871154047
Provider Type
Individual
Primary Specialty
Developmental Therapist
Enumeration Date
June 27, 2019
Last Updated
June 27, 2019

Practice Location

  • 4535 Southwestern Blvd Ste 203
  • Hamburg, NY 14075-1861

Phone: (716) 202-1161

Specialties

  • Developmental Therapist (222Q00000X)
Full Record
NPI
1871154047
Entity Type
Individual
Last Name
Washburn
First Name
Jessica
Mailing Street Address
4535 Southwestern Blvd Ste 203
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1861
Mailing Country
US
Mailing Phone
(716) 202-1161
Mailing Fax
(716) 202-4423
Practice Street Address
4535 Southwestern Blvd Ste 203
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1861
Practice Country
US
Practice Phone
(716) 202-1161
Practice Fax
(716) 202-4423
Enumeration Date
June 27, 2019
Last Updated
June 27, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Developmental Therapist (222Q00000X)