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Individual

JODY WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
8851 HILL CHURCH ST SE, EAST CANTON, OH 44730-9756
(330) 488-1100

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 732
OH

Other

Enumeration date
11/26/2008
Last updated
11/26/2008
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