Individual
ROBERT WARDZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA-L
Contact information
Practice address
326 ORCHARD PARK ROAD, WEST SENECA, NY 14224
(716) 828-1719
(716) 828-9275
Mailing address
227 THORN AVENUE, BOX 631, ORCHARD PARK, NY 14127-0631
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004956-1
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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