# DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY PHYSICAL THER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Rehab Services of WNY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518332816
- **Authorized official:** MADONNA L RUGGIERO (DIRECTOR OF CHILDREN'S SERVICES)
- **Authorized official phone:** (716) 871-9883

## Contact information

- **Practice address:** 2900 DELAWARE AVE, KENMORE, NY 14217-2309
- **Practice address phone:** (716) 871-9883
- **Practice address fax:** (716) 256-1675
- **Mailing address:** 2900 DELAWARE AVE, KENMORE, NY 14217-2309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2015
- **Last updated:** 12/11/2015