Diversified Services for Occupational Therapy Physical Ther

NPI #1518332816 in Kenmore, New York

Provider Information

NPI Number: 1518332816
Entity Type: Organization
Organization Name: Diversified Services for Occupational Therapy Physical Ther
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 2900 DELAWARE AVE
City: Kenmore
State: New York
ZIP Code: 14217-2309
Phone: (716) 871-9883

Authorized Official

Name: MADONNA L RUGGIERO
Title: DIRECTOR OF CHILDREN'S SERVICES
Phone: (716) 871-9883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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