Individual
MRS. LYNN M WASHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
30 SOUTHGATE RD, LOUDONVILLE, NY 12211-1132
(518) 785-6607
Mailing address
25 WOODBINE AVE, WATERVLIET, NY 12189-3819
(518) 273-8151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
OCCUPATIONAL THERAPY ASSISTANT
NY
Enumeration date
02/03/2012
Last updated
02/03/2012
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