Jocelyn Marie Eisele

Individual provider Active NPI Occupational Therapist · Lancaster, NY

NPI 1194222778 · NPPES record last updated Apr 10, 2018

Key facts

NPI
1194222778
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
021968 (NY)
Practice address
18 Signal Dr
Lancaster, NY 14086-9559
Phone
(716) 225-0606
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
021968NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021968 NY Yes

Addresses

Primary practice location

18 Signal Dr
Lancaster, NY 14086-9559

Mailing address

18 Signal Dr
Lancaster, NY 14086-9559
Phone (716) 225-0606

Other providers in Lancaster, NY

All providers in Lancaster, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.