National Provider Identifier
Jonathan Gustke, COTA/L
Jonathan Gustke, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Amherst, NY and a listed phone number of (800) 543-9399.
Profile Overview
- NPI
- 1871155648
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- July 02, 2019
- Last Updated
- July 02, 2019
Practice Location
- 95 John Muir Drive
- Amherst, NY 14228
Phone: (800) 543-9399
Mailing Address
- 121 Haskins Ln N
- Hilton, NY 14468-8957
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1871155648
- Entity Type
- Individual
- Last Name
- Gustke
- First Name
- Jonathan
- Credential
- COTA/L
- Mailing Street Address
- 121 Haskins Ln N
- Mailing City
- Hilton
- Mailing State
- NY
- Mailing ZIP Code
- 14468-8957
- Mailing Country
- US
- Mailing Phone
- (585) 766-1991
- Practice Street Address
- 95 John Muir Drive
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228
- Practice Country
- US
- Practice Phone
- (800) 543-9399
- Enumeration Date
- July 02, 2019
- Last Updated
- July 02, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)