Individual
MRS. JODY MARIE BIALASZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 EAST NORTH STREET, BUFFALO, NY 14203
(716) 885-8318
Mailing address
2750 2ND ST, EDEN, NY 14057-1432
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009897-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009897-1
OT LICENSE #
—
Enumeration date
11/02/2007
Last updated
11/02/2007
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