Organization
DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY PHYSICAL THER
Active
Other names
Children's Rehab Services of WNY
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA L RUGGIERO (DIRECTOR OF CHILDREN'S SERVICES)
(716) 871-9883
Entity
Organization
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
(716) 256-1675
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995691
—
NY
Enumeration date
12/11/2015
Last updated
12/11/2015
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