Individual
KIMBERLY MARIE WOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(619) 940-8118
Mailing address
355 BERRY ST APT 434, SAN FRANCISCO, CA 94158-1557
(619) 940-8118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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