Individual
MS. DIANE M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3574
Mailing address
3903 BOWEN RD, #54, LANCASTER, NY 14086-9679
(716) 681-7799
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13474
—
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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