Individual
MARIE WOLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
221 11TH AVE, MOLINE, IL 61265-1498
(309) 797-7199
Mailing address
221 11TH AVE, MOLINE, IL 61265-1498
(309) 797-7199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00516
IA
224Z00000X
Occupational Therapy Assistant
Primary
057.002761
IL
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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