National Provider Identifier
Georgiann Lynn Dieteman, OTRL
Georgiann Lynn Dieteman, OTRL is listed in the NPPES registry with a primary specialty of Occupational Therapist in Elma, NY and a listed phone number of (716) 805-1555.
Profile Overview
- NPI
- 1487794483
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 07, 2007
- Last Updated
- October 14, 2009
Practice Location
- 960 West Maple Court
- Elma, NY 14059
Phone: (716) 805-1555
Mailing Address
- 345 Countryside Ln
- Apartment 5
- Orchard Park, NY 14127-1339
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1487794483
- Entity Type
- Individual
- Last Name
- Dieteman
- First Name
- Georgiann
- Middle Name
- Lynn
- Credential
- OTRL
- Mailing Street Address
- 345 Countryside Ln
- Mailing Address Line 2
- Apartment 5
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1339
- Mailing Country
- US
- Mailing Phone
- (716) 574-7183
- Practice Street Address
- 960 West Maple Court
- Practice City
- Elma
- Practice State
- NY
- Practice ZIP Code
- 14059
- Practice Country
- US
- Practice Phone
- (716) 805-1555
- Practice Fax
- (716) 805-1444
- Enumeration Date
- February 07, 2007
- Last Updated
- October 14, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)