Individual
JENNIFER LYNN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2495 MAIN ST STE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
160 PROSPECT AVE, HAMBURG, NY 14075-4816
(716) 400-2758
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008750
NY
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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