Dianna M Fleming, OTR/L

Individual provider Active NPI Occupational Therapist · Henrietta, NY

NPI 1083994669 · NPPES record last updated Aug 26, 2011

Key facts

NPI
1083994669
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
008567-1 (NY)
Practice address
2034 Lehigh Station Rd
Henrietta, NY 14467-9616
Phone
(585) 359-5000
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
008567-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008567-1 NY Yes

Addresses

Primary practice location

2034 Lehigh Station Rd
Henrietta, NY 14467-9616

Mailing address

8 Park Circle Dr
Fairport, NY 14450-2522
Phone (585) 223-0918

Other identifiers

IdentifierTypeStateIssuer
01497492MedicaidNY

Other providers in Henrietta, NY

All providers in Henrietta, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.