National Provider Identifier
Jaclyn Rupert, COTA
Jaclyn Rupert, COTA is listed in the NPPES registry with a primary specialty of Specialist in Hamburg, NY and a listed phone number of (716) 430-5614.
Profile Overview
- NPI
- 1972871150
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 02, 2011
- Last Updated
- December 02, 2011
Practice Location
- 150 Pleasant Ave
- Hamburg, NY 14075-4828
Phone: (716) 430-5614
Mailing Address
- 150 Pleasant Ave
- Hamburg, NY 14075
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1972871150
- Entity Type
- Individual
- Last Name
- Rupert
- First Name
- Jaclyn
- Name Prefix
- Miss
- Credential
- COTA
- Mailing Street Address
- 150 Pleasant Ave
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Mailing Phone
- (716) 430-5614
- Practice Street Address
- 150 Pleasant Ave
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-4828
- Practice Country
- US
- Practice Phone
- (716) 430-5614
- Enumeration Date
- December 02, 2011
- Last Updated
- December 02, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 166001780 (NY)