Doctor Name: | DAVID MICHAEL WOLFE |
NPI Number: | 1063513562 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L |
License Number: | 0C004132L |
Business Practice Address: | 1011 W Baltimore Pike Ste 105 West Grove, PA - 193909447 |
Business Phone Number: | 6108692901 |
Business Fax Number: | 6108691721 |
Mailing Address: | 140 Turners Pond Dr, LINCOLN UNIVERSITY |
State: | PA |
Postal Code: | 193521757 |
Phone Number: | 6108696316 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 0C004132L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |