person
Miss Jaclyn Rupert, COTA
Specialist in Hamburg, New York
NPI 1972871150

Jaclyn Rupert is a Specialist based in Hamburg, NY. Jaclyn Rupert practices in Hamburg, NY and has the professional credentials of COTA. The NPI Number for Jaclyn Rupert is 1972871150 and holds a License No. 004818-01 (New York).

The current practice location address for Jaclyn Rupert is 150 Pleasant Ave, Hamburg, NY and can be reached out via phone at 716-430-5614.

Location: 150 Pleasant Ave, Hamburg, NY, 14075
person
Provider Profile Details
NPI Number
1972871150
Provider Name
Jaclyn Rupert
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
150 Pleasant Ave, Hamburg, NY, 14075
Phone Number
716-430-5614
Fax Number
Provider Enumeration Date
12/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166001780 05 NY
institution
Provider Business Practice Location Address Details
Address
150 Pleasant Ave
City
State
Zip
14075-4828
Phone Number
716-430-5614
Fax Number
person
Provider Business Mailing Address Details
Address
150 Pleasant Ave
City
State
Zip
14075-4828
Phone Number
716-430-5614
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
004818-01 ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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