Individual
KAYLA WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17613 VALLEYVIEW AVE, CLEVELAND, OH 44135-1123
(216) 835-5515
Mailing address
17613 VALLEYVIEW AVE, CLEVELAND, OH 44135-1123
(216) 835-5515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131001309
VIRGINIA BOARD OF OCCUPATIONAL THERAPY
VA
Enumeration date
02/23/2015
Last updated
02/23/2015
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