National Provider Identifier

Diane M Lewis, CTRS

Diane M Lewis, CTRS is listed in the NPPES registry with a primary specialty of Recreation Therapist in Buffalo, NY and a listed phone number of (716) 898-3574.

NPI 1164578548Buffalo, NYRecreation Therapist

Profile Overview

NPI
1164578548
Provider Type
Individual
Primary Specialty
Recreation Therapist
Enumeration Date
January 26, 2007
Last Updated
July 08, 2007

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3574

Mailing Address

  • 3903 Bowen RD
  • #54
  • Lancaster, NY 14086-9679

Specialties

  • Recreation Therapist (225800000X)
Full Record
NPI
1164578548
Entity Type
Individual
Last Name
Lewis
First Name
Diane
Middle Name
M
Name Prefix
MS.
Credential
CTRS
Mailing Street Address
3903 Bowen RD
Mailing Address Line 2
#54
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-9679
Mailing Country
US
Mailing Phone
(716) 681-7799
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3574
Enumeration Date
January 26, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Recreation Therapist (225800000X)