Individual provider · Type 1 NPI

Kenneth L. Dzialak, COTA

Occupational Therapy Assistant · Buffalo, NY

NPI number 1003968397 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

3460 Stony Point Rd
Grand Island, NY 14072-1129

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X006444-1 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003968397

Kenneth L. Dzialak, COTA's National Provider Identifier is 1003968397, issued on Jan 17, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 8, 2007.