Individual
MRS. TERI WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
51 N CHURCH ST, CANASERAGA, NY 14822-9726
(607) 590-1744
Mailing address
51 N CHURCH ST, CANASERAGA, NY 14822-9726
(607) 590-1744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002290
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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