Individual
MRS. DIANNE MARIE RUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 SUMMERSHADE CT, EAST AMHERST, NY 14051-1678
(716) 308-0842
Mailing address
92 SUMMERSHADE CT, EAST AMHERST, NY 14051-1678
(716) 308-0842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002558-1
NY
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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