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1124208004
TIMOTHY J WOLF
SAINT LOUIS, MO
NPI
1124208004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2007025738)
Enumeration Date
2007-11-08
Last Update Date
2014-01-17
Business Address
Mr. TIMOTHY J WOLF OT
4444 FOREST PARK AVE
SAINT LOUIS, MO 63108-2212
Phone number: 314-362-5079
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Mailing Address
Mr. TIMOTHY J WOLF OT
4444 FOREST PARK AVE C B 8505
SAINT LOUIS, MO 63108-2212
Phone number: 314-362-5079
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