Individual
KATHERINE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(800) 825-5437
Mailing address
PO BOX 1484, RUNNING SPRINGS, CA 92382-1484
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18073
CA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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