Individual
KIRSTY WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
5555 1ST AVE E APT 103, BRADENTON, FL 34208-6047
(321) 298-7725
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12664
FL
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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