Individual
MRS. MADELEINE MARIE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4855 EVERGREEN WAY, WASHOUGAL, WA 98671-9176
(360) 954-3000
Mailing address
840 NW SACAJAWEA ST, CAMAS, WA 98607-5201
(360) 834-2105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60312194
WA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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