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Organization
DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEEC
Active
Organization
DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL E KNAUER (DIRECTOR OF DEVELOPMENT)
(716) 871-9883
Entity
Organization
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9915
(716) 871-9887
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9915
(716) 871-9887
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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