Individual
MISS LINDSEY WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
41505 CARLOTTA DR, PALM DESERT, CA 92211-3279
(760) 346-5420
Mailing address
4747 CASTLE RIDGE DR, SALT LAKE CITY, UT 84117-4972
(801) 518-9139
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000053
VA
224Z00000X
Occupational Therapy Assistant
Primary
70301254202
UT
224Z00000X
Occupational Therapy Assistant
—
CA
Other
Enumeration date
09/07/2009
Last updated
10/01/2009
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