Individual
DIANNE IANNITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
31 HALL DR, VALLEY MEDICAL GROUP, PC-AMHERST MEDICAL CENTER, AMHERST, MA 01002
(413) 256-8561
(866) 644-0869
Mailing address
31 HALL DR, VALLEY MEDICAL GROUP, PC-AMHERST MEDICAL CENTER, AMHERST, MA 01002
(413) 256-8561
(866) 644-0869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2450
STATE LICENSE
MA
Enumeration date
09/10/2018
Last updated
04/11/2023
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