Provider Demographics
NPI:1821726142
Name:WOLF, ALEXANDRA FRANCESCA (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:FRANCESCA
Last Name:WOLF
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10665 KNIGHTS WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-1998
Mailing Address - Country:US
Mailing Address - Phone:440-409-9475
Mailing Address - Fax:
Practice Address - Street 1:1811 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1214
Practice Address - Country:US
Practice Address - Phone:330-486-2100
Practice Address - Fax:330-425-7216
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA008274224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant