Individual
EMMA WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 KENNETH SIMPSON LN, BEDFORD, IN 47421
(812) 275-7006
Mailing address
1485 E OLIVE BRANCH RD, NEWBERRY, IN 47449-7075
(812) 593-0991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007429A
IN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/29/2021
Last updated
06/30/2021
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