MEDICARE: MRS. JOANNE NADINE WOOLSEY-LASKY OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	007170-1	NY

General Provider Information

NPI Number	:	1922246677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNE NADINE WOOLSEY-LASKY OTR/L

Provider Business Mailing Address
First Line	:	6445 W QUAKER ST
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-2354
Country	:	US
Telephone Number	:	716-667-3691
Fax Number	:

Provider Business Practice Location Address
First Line	:	6445 W QUAKER ST
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-2354
Country	:	US
Telephone Number	:	716-667-3691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2009
Last Update Date	:	02/02/2009

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