Individual
LORI I WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
55 NORTH FARRAGUT ROAD, MONTAUK, NY 11954
(516) 384-8556
Mailing address
PO BOX 1287, MONTAUK, NY 11954-0896
(516) 384-8556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013056-1
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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