Individual
DIANE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4646 NINE MILE POINT RD, FAIRPORT, NY 14450-1163
(585) 377-0350
Mailing address
4646 NINE MILE POINT RD., FAIRPORT BAPTIST HOME, FAIRPORT, NY 14450-8761
(585) 377-0350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007972-1
NY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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