Individual
JOHANNA KATHERINE DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(800) 335-1060
Mailing address
135 FENTON AVE, MOGADORE, OH 44260-1410
(330) 415-4623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT013100
OH
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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