Individual
DIANE BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
5183 LYLE DR, CLAY, NY 13041-9721
(315) 382-8939
Mailing address
PO BOX 603, CENTRAL SQUARE, NY 13136
(315) 382-8939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001680-1
NY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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