Individual
LESLIE KAY WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1339 COMMERCE AVE, SUITE 314, LONGVIEW, WA 98632-3738
(360) 560-1972
(360) 703-3452
Mailing address
1339 COMMERCE AVE, SUITE 314, LONGVIEW, WA 98632-3738
(360) 560-1972
(360) 703-3452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001294
WA
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018088
—
WA
Enumeration date
02/22/2007
Last updated
09/14/2015
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