National Provider Identifier
Kenneth L Dzialak, COTA
Kenneth L Dzialak, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 898-3575.
Profile Overview
- NPI
- 1003968397
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 17, 2007
- Last Updated
- July 08, 2007
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3575
Mailing Address
- 3460 Stony Point RD
- Grand Island, NY 14072-1129
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1003968397
- Entity Type
- Individual
- Last Name
- Dzialak
- First Name
- Kenneth
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- COTA
- Mailing Street Address
- 3460 Stony Point RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1129
- Mailing Country
- US
- Mailing Phone
- (716) 773-6694
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3575
- Enumeration Date
- January 17, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)