Individual
DIANE SWATSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
101 OAK ST, BUFFALO, NY 14203-2215
(716) 856-4204
Mailing address
794 RANSOM RD, LANCASTER, NY 14086-9712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002744
NY
Other
Enumeration date
06/26/2007
Last updated
07/10/2007
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