Individual
MRS. NICOLE ASHLEY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 833-1013
Mailing address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 833-1013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1145
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145
—
OK
Enumeration date
02/11/2022
Last updated
02/11/2022
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