Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5359 | CT |
NPI | 1003404468 |
---|---|
Provider Name | Claire Wolfer |
First Address | Cherry Hill, NJ 08003-1000 |
Second Address | Southbury, CT 06488-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2021 |
Last Update Date | 01/01/2021 |