Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OC00001199 | WA |
NPI | 1023278553 |
---|---|
Provider Name | Joann Wolpert |
First Address | Spokane, WA 99203-4400 |
Second Address | Spokane, WA 99203-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 09/06/2008 |