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Individual

MISS DIANE MARIE DILLABOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5176 ST ROUTE 233, WESTMORELAND ELEMETARY SCHOOL, WESTMORELAND, NY 13490
(315) 793-8525
(315) 223-4748
Mailing address
BOX 70 MIDDLE SETTLEMENT RD., ONEIDA HERKIMER MADISON BOCES, NEW HARTFORD, NY 13413-0070
(315) 793-8525
(315) 223-4748

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003399-1
NY

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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