National Provider Identifier

Diane Hartley, OTR

Diane Hartley, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-0350.

NPI 1164813192Fairport, NYOccupational Therapist

Profile Overview

NPI
1164813192
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 12, 2015
Last Updated
February 12, 2015

Practice Location

  • 4646 Nine Mile Point RD
  • Fairport, NY 14450-1163

Phone: (585) 377-0350

Mailing Address

  • 4646 Nine Mile Point RD.
  • Fairport Baptist Home
  • Fairport, NY 14450-8761

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1164813192
Entity Type
Individual
Last Name
Hartley
First Name
Diane
Credential
OTR
Mailing Street Address
4646 Nine Mile Point RD.
Mailing Address Line 2
Fairport Baptist Home
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-8761
Mailing Country
US
Mailing Phone
(585) 377-0350
Practice Street Address
4646 Nine Mile Point RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1163
Practice Country
US
Practice Phone
(585) 377-0350
Enumeration Date
February 12, 2015
Last Updated
February 12, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)