Individual
JENNIFER S WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2620 MAXEY STREET, DURANT, OK 74701-5540
(580) 775-0699
Mailing address
2620 MAXEY, DURANT, OK 74701
(580) 775-0699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118884
TX
225X00000X
Occupational Therapist
2175
OK
Other
Enumeration date
11/16/2011
Last updated
09/15/2019
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