Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 020865-1 | NY |
NPI | 1003397696 |
---|---|
Provider Name | Margaret Caroline Dilella |
First Address | Rochester, NY 14609-3801 |
Second Address | Rochester, NY 14607-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2018 |
Last Update Date | 22/08/2018 |