Individual
BENJAMIN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3660 W BETHANY HOME RD STE B, PHOENIX, AZ 85019-1953
(602) 626-8851
Mailing address
21842 N 31ST DR, PHOENIX, AZ 85027-1685
(610) 291-1580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007930
AZ
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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