Most Relevant Information
Provider Data
| NPI Number: | 1003414897 |
| Provider Name: | JENNA MARIE WIER |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 025055-01 |
Most Important Dates
| Enumeration Date: | 10/13/2020 |
| Last Updated: | 11/08/2021 |
Provider Practice Location
2049 GEORGE URBAN BLVD
DEPEW
NY
140431823
Practice Location Phone/Fax
| Phone: | 7169018700 |
| Fax: |
Provider Mailing Location
912 MAIN ST
WEST SENECA
NY
142243164
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |