Individual
DIANE L. DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
274 HAYES RD, SCHUYLERVILLE, NY 12871-1840
(518) 538-3510
Mailing address
45 BAYBERRY DR, MALTA, NY 12020-6307
(518) 581-8085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010034-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
010034-1
NY
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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