=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013830116
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MORGAN JEAN WDOWKA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2026
-----------------------------------------------------
Last Update Date | 08/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3527 UNION RD
-----------------------------------------------------
City | CHEEKTOWAGA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14225-5122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-458-1990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11301 CREGO RD
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14001-9736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-913-6640
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 031272
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------