Individual
KTRINA KAE WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1905 BRIAR RUN DR, GREENSBORO, NC 27405-9677
(336) 500-7165
Mailing address
1905 BRIAR RUN DR, GREENSBORO, NC 27405-9677
(336) 500-7165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6251
NC
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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