Individual
JENA JAKUBCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 HARLEM ROAD, WEST SENECA, NY 14224
(716) 821-7067
Mailing address
27 BENTLEY CIRCLE, LANCASTER, NY 14086
(716) 548-6397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64-008785
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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