KENNETH L DZIALAK

BUFFALO, NY
NPI1003968397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  006444-1)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Mr. KENNETH L DZIALAK COTA
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-898-3575
Mailing Address
Mr. KENNETH L DZIALAK COTA
3460 STONY POINT RD
GRAND ISLAND, NY 14072-1129
Phone number: 716-773-6694