Organization
ENABLING WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA TAYLOR WOLF OTD, OTR/L (OWNER)
(850) 374-1731
Entity
Organization
Contact information
Practice address
42020 VILLAGE CENTER PLAZA, STE 120 PMB 1003, STONE RIDGE, VA 20105
(571) 206-1616
(571) 934-4029
Mailing address
42020 VILLAGE CENTER PLAZA, STE 120 PMB 1003, STONE RIDGE, VA 20105
(571) 206-1616
(571) 934-4029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/11/2020
Last updated
03/05/2021
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