Individual
MS. KAY MARIE NICHOLS-WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, OTR/L
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
(610) 376-9828
Mailing address
PO BOX 1495, READING, PA 19603-1495
(610) 376-4841
(610) 376-9828
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC07230L
PA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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