Individual
BARBARA DZIEDZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
43 LIBERTY DR, AMSTERDAM, NY 12010-5635
(518) 954-3354
Mailing address
125 2ND AVE E, FONDA, NY 12068-5024
(518) 829-5266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002627-1
NY
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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