Individual
WILLIAM WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4001 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8657
(360) 754-9792
Mailing address
8620 28TH WAY SE, LACEY, WA 98513-9323
(817) 905-9653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60531474
WA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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