Individual
MRS. CAROLYN A. WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5000 S BROADWAY, SAINT LOUIS, MO 63111-2015
(314) 353-3680
Mailing address
5727 WHITE PINE DR, SAINT LOUIS, MO 63129-2935
(314) 487-3050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005004
MO
Other
Enumeration date
06/23/2007
Last updated
07/08/2007
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