Individual
MS. DIANE W EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
85 ADAMS ST, ROCHESTER, NY 14608-2210
(585) 454-3525
Mailing address
85 ADAMS ST, ROCHESTER, NY 14608-2210
(585) 454-3525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010471-1
NY
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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