Provider Demographics
NPI:1225313018
Name:WIERZBA, DENISE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:WIERZBA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:SITARSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2034 LEHIGH STATION RD
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9616
Mailing Address - Country:US
Mailing Address - Phone:585-359-5000
Mailing Address - Fax:
Practice Address - Street 1:2034 LEHIGH STATION RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9616
Practice Address - Country:US
Practice Address - Phone:585-359-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003885-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist