Provider Demographics
NPI:1891907929
Name:SNEATH, S. DIANNE MERCER (OTR)
Entity Type:Individual
Prefix:MRS
First Name:S. DIANNE
Middle Name:MERCER
Last Name:SNEATH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:DIANNE
Other - Last Name:MERCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:4765 BICKERT DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-2206
Mailing Address - Country:US
Mailing Address - Phone:716-572-1926
Mailing Address - Fax:716-759-6069
Practice Address - Street 1:WYOMING COUNTY COMMUNITY HOSPITAL
Practice Address - Street 2:400 NORTH MAIN STREET
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569
Practice Address - Country:US
Practice Address - Phone:585-786-2233
Practice Address - Fax:585-786-1268
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003009-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics