Individual
BRENDA WOLFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
8502 N NEVADA ST, #2, SPOKANE, WA 99208-7395
(509) 487-2958
(509) 487-3025
Mailing address
5621 E NANCY LN, MEAD, WA 99021-9039
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8422784
—
WA
Enumeration date
11/14/2006
Last updated
07/09/2007
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