Lisa S Wolf, OTR/L
Occupational Therapist in West Linn, OR. Individual provider (NPI-1).
NPI number1760633408
StatusActive
Last updated in NPPESFeb 22, 2022
Details
- NPI
- 1760633408
- Entity type
- Individual (NPI-1)
- Name
- Lisa S Wolf
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2008
- Certification date
- Feb 22, 2022
- Last updated
- Feb 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 1025312 | OR | Yes |
| 225X00000X | Occupational Therapist | 5536 | CA |
Practice location
2691 Lancaster StWest Linn, OR 97068-3832
Phone 925-788-1645
Mailing address
2691 Lancaster StWest Linn, OR 97068-3832
Phone 925-788-1645
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