Individual
MRS. DIANE J. GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2253 MAIN ST, BUFFALO, NY 14214-2349
(716) 834-7200
Mailing address
94 CLEVELAND DR, BUFFALO, NY 14223-1026
(716) 871-9154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001408-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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