Individual
MRS. DONNA SULLIVAN NISWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
700 MICHIGAN AVE, BUFFALO, NY 14203-1514
(716) 854-5700
(716) 854-5800
Mailing address
134 MORRIS AVE, BUFFALO, NY 14214-1610
(716) 836-6346
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
002173-1
NY
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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