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1417508433
BENJAMIN WOLF
PHOENIX, AZ
NPI
1417508433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-007930)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
BENJAMIN WOLF OTR/L
3660 W BETHANY HOME RD STE B
PHOENIX, AZ 85019-1953
Phone number: 602-626-8851
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Mailing Address
BENJAMIN WOLF OTR/L
21842 N 31ST DR
PHOENIX, AZ 85027-1685
Phone number: 610-291-1580
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