National Provider Identifier

Katherine N Jordan, COTA

Katherine N Jordan, COTA 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 1982986436Kenmore, NYOccupational Therapy Assistant

Profile Overview

NPI
1982986436
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 11, 2011
Last Updated
September 11, 2011

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 146 N Ellwood Ave
  • Buffalo, NY 14223-2545

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1982986436
Entity Type
Individual
Last Name
Jordan
First Name
Katherine
Middle Name
N
Name Prefix
Mrs.
Credential
COTA
Mailing Street Address
146 N Ellwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-2545
Mailing Country
US
Mailing Phone
(716) 832-6505
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
Practice Fax
(716) 874-6175
Enumeration Date
September 11, 2011
Last Updated
September 11, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)