Individual
MRS. LOIS E WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19 ACADEMY STREET, WYOMING, NY 14591-0139
(585) 495-6722
Mailing address
PO BOX 139, 19 SOUTH ACADEMY STREET, WYOMING, NY 14591-0139
(585) 495-6722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007191-1
NY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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