Individual
JESSE RYAN ERNEWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 375-7481
Mailing address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 375-7481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009382
NY
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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