# SOUTHTOWNS CHILDREN'S SLP, PT & OT ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southtowns Children's SLP, PT & OT Associates PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356581367
- **Authorized official:** MRS. LISA L NOWAKOWSKI (CEO/CFO)
- **Authorized official phone:** (716) 794-3535

## Contact information

- **Practice address:** 3755 ABBOTT ROAD, ORCHARD PARK, NY 14127-2115
- **Practice address phone:** (716) 202-1161
- **Practice address fax:** (716) 202-4423
- **Mailing address:** 3755 ABBOTT ROAD, ORCHARD PARK, NY 14127-2115
- **Mailing address phone:** (716) 202-1161
- **Mailing address fax:** (716) 202-4423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 012225 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/04/2020