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Individual

MRS. KRYSTAL WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
909 S LAKESIDE AVE, LAKELAND, FL 33803-1031
(863) 688-5521
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14657
FL

Other

Enumeration date
12/01/2011
Last updated
08/23/2021
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