Individual
HEIDI MARIE WOLFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3908 SHENANDOAH AVE, SAINT LOUIS, MO 63110-4016
(618) 201-1112
Mailing address
3908 SHENANDOAH AVE, SAINT LOUIS, MO 63110-4016
(618) 201-1112
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
056006552
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2010016792
MO
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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