Individual
MS. DIANE LEE RIEGLE-GANCZARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3767 DELAWARE AVE, BUFFALO, NY 14217-1040
(716) 874-6175
Mailing address
3767 DELAWARE AVE, BUFFALO, NY 14217-1040
(716) 874-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01142-1
NY
Other
Enumeration date
01/27/2011
Last updated
09/17/2018
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