Individual
VILMA LISSEETTE DIGILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 349-5558
Mailing address
105 ELLEN ST, OSWEGO, NY 13126-3906
(315) 312-0207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006412-1
NY
Other
Enumeration date
03/24/2011
Last updated
03/25/2011
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