Individual
MRS. DIANE MARY TIGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
959 BEACH RD, ANGOLA, NY 14006-9702
(716) 926-2370
Mailing address
4914 SUNWAY LN, HAMBURG, NY 14075-2336
(716) 648-3651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003090-1
NY
Other
Enumeration date
12/12/2011
Last updated
07/16/2012
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