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1164070025
ASHLEY DIETZ
GRAND ISLAND, NY
NPI
1164070025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 010203-01)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
Ms. ASHLEY DIETZ COTA/L
2451 BASELINE RD
GRAND ISLAND, NY 14072-1657
Phone number: 716-773-8870
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Mailing Address
Ms. ASHLEY DIETZ COTA/L
112 WEYAND AVE
BUFFALO, NY 14210-2371
Phone number: 716-308-2205
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