Individual
KIM D WOULFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CDRS
Contact information
Practice address
1070 MOORE RD NW, CHARLESTON, TN 37310-5031
(423) 505-0551
Mailing address
1070 MOORE RD NW, CHARLESTON, TN 37310-5031
(423) 505-0551
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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