NPI 1003968397

Kenneth L Dzialak, COTA

Practitioner Occupational Therapy Assistant Buffalo, NY

Practice location

Address: 462 Grider St, Buffalo, NY 14215-3021
Phone: (716) 898-3575
Mailing address: 3460 Stony Point Rd, Grand Island, NY 14072-1129

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 006444-1 (NY)

Other Occupational Therapy Assistant providers in New York →

Registry record

NPI: 1003968397
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.