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Individual

MONA WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2401 E HUNT ST, SHOW LOW, AZ 85901-7920
(928) 537-5333
Mailing address
2700 S WHITE MOUNTAIN RD, APT. 123, SHOW LOW, AZ 85901-7309
(928) 251-4851

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201562
MN
224Z00000X
Occupational Therapy Assistant
Primary
4524
AZ

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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