# KRISTEN WOLLNY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417518838
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 46TR00879500 | NJ | — |
| 225X00000X | Occupational Therapist | OTP-OT-LIC-6855 | MT | Yes |

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 07/09/2019