Individual
COLLEEN ELIZABETH WOLGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 PLYMOUTH AVE, ORELAND, PA 19075-2021
(267) 804-2753
Mailing address
314 PLYMOUTH AVE, ORELAND, PA 19075-2021
(267) 804-2753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010014
PA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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