Clark Alexander Wolf OTR/L

NPI 1568781854 - Occupational Therapist - 225X00000X

NPI Details
NPI 1568781854
Gender Male
Enumeration Date 05/26/2010
Last Updated 05/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
813 FAY RD
SYRACUSE NY, 13219-3009, US
Phone (315) 488-2951
Fax
Business Location
132 WEBB AVE
CENTRAL SQUARE NY, 13036-8703, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New York
License Number 011986-1
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According to our database, Clark Alexander Wolf OTR/L NPI is 1568781854, taxonomy code is 225X00000X and license number is 011986-1, license state is located at New York. Clark Alexander Wolf OTR/L physically located at 813 Fay Rd, Syracuse NY, 13219-3009. NPI Number Clark Alexander Wolf OTR/L has the Individual type.

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1568781854 NPI number is provided on an as is basis without warranty of any kind. 1568781854 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Alexander Wolf OTR/L are for informational purposes only.