Individual
MR. PHILLIP STANLEY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
16020 S 23RD ST, PHOENIX, AZ 85048-4206
(480) 290-3568
Mailing address
16020 S 23RD ST, PHOENIX, AZ 85048-4206
(480) 290-3568
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0443
AZ
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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