Individual
GLENN ROBERT WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
149 W 22ND ST, ERIE, PA 16502-2804
(814) 452-3271
Mailing address
149 W 22ND ST, ERIE, PA 16502-2804
(814) 452-3271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003516L
PA
Other
Enumeration date
04/08/2008
Last updated
04/25/2011
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