Individual
SHAWN WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 RANGER BLVD, ROLAND, OK 74954-4040
(479) 430-0497
Mailing address
1635 KINGS WAY, ALMA, AR 72921-5144
(479) 430-0497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
736
OK
225X00000X
Occupational Therapist
OTR511
AR
Other
Enumeration date
06/07/2007
Last updated
11/19/2014
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