National Provider Identifier
Jorich Dalistan
Jorich Dalistan is listed in the NPPES registry with a primary specialty of Occupational Therapist in Victor, NY and a listed phone number of (585) 957-2612.
Profile Overview
- NPI
- 1033083316
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 01, 2025
- Last Updated
- October 01, 2025
Practice Location
- 1055 Oak Ridge Dr
- Victor, NY 14564-9414
Phone: (585) 957-2612
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1033083316
- Entity Type
- Individual
- Last Name
- Dalistan
- First Name
- Jorich
- Mailing Street Address
- 1055 Oak Ridge Dr
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9414
- Mailing Country
- US
- Practice Street Address
- 1055 Oak Ridge Dr
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9414
- Practice Country
- US
- Practice Phone
- (585) 957-2612
- Practice Fax
- (585) 957-2612
- Enumeration Date
- October 01, 2025
- Last Updated
- October 01, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 30, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)