Individual
ELIZABETH ANN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 588-1645
Mailing address
1150 COBBLESTONE WAY DR SE, BYRON CENTER, MI 49315-9150
(307) 696-5352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008141
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/05/2012
Last updated
01/28/2019
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