Individual
LISA S WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2691 LANCASTER ST, WEST LINN, OR 97068-3832
(925) 788-1645
Mailing address
2691 LANCASTER ST, WEST LINN, OR 97068-3832
(925) 788-1645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1025312
OR
225X00000X
Occupational Therapist
5536
CA
Other
Enumeration date
09/30/2008
Last updated
02/22/2022
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