Individual
JESSICA ANNE PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
2495 MAIN ST STE 234, BUFFALO, NY 14214-2152
(716) 863-5929
Mailing address
2495 MAIN ST STE 234, BUFFALO, NY 14214-2152
(716) 863-5929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
044261-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
044261-1
NY
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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