Individual
MR. MICHAEL WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(703) 257-9770
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006354
VA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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