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Jorich Dalistan

Occupational Therapist in Victor, NY. Individual provider (NPI-1).

NPI number1033083316
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1033083316
Entity type
Individual (NPI-1)
Name
Jorich Dalistan
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2025
Certification date
Sep 30, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist027487NYYes

Practice location

1055 Oak Ridge Dr
Victor, NY 14564-9414

Phone 585-957-2612 · Fax 585-957-2612

Mailing address

1055 Oak Ridge Dr
Victor, NY 14564-9414

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