Individual
MAGGIE KATHRYN ROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1315 S BELL AVE STE 108, AMES, IA 50010-7730
(515) 337-0343
Mailing address
3545 LAKE AVE STE 200, WILMETTE, IL 60091-1058
(847) 386-6560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518478684
PRIVATE INSURANCE
—
Enumeration date
03/31/2021
Last updated
01/04/2024
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