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Individual

MS. LYNNE D. WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L,CHT,CVE

Contact information

Practice address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-8703
Mailing address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-8703

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001244
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00001244
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031574
DEPT. OF LABOR&INDUSTRIES
WA
05
8339897
WA
01
8931812
CRIME VICTUMS
WA
01
A002
TRICARE
WA
01
WO3525
REGENCE
WA
Enumeration date
04/11/2006
Last updated
12/03/2007
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