Most Relevant Information
Provider Data
| NPI Number: | 1003071465 |
| Provider Name: | MARY JOAN DZIADASZEK OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | 003349-1 |
Most Important Dates
| Enumeration Date: | 07/25/2008 |
| Last Updated: | 12/05/2008 |
Provider Practice Location
19 BRIGGS DR
ORCHARD PARK
NY
141273127
Practice Location Phone/Fax
| Phone: | 7166622318 |
| Fax: |
Provider Mailing Location
19 BRIGGS DR
ORCHARD PARK
NY
141273127
Provider Mailing Phone/Fax
| Phone: | 7166622318 |
| Fax: |