Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Catherine Stack, OTR/L

Individual provider Occupational Therapist · NPI 1497904536

Mrs. Jennifer Catherine Stack, OTR/L is an Occupational Therapist in Tonawanda, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

205 Yorkshire Rd
Tonawanda, NY 14150-8350
Phone: (716) 332-0454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 014666 (NY)

Record details

NPI number1497904536
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESSeptember 12, 2008

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