Provider Demographics
NPI:1750350997
Name:WOLFF, JONI LYNNE (OTRL)
Entity type:Individual
Prefix:MRS
First Name:JONI
Middle Name:LYNNE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1010 EICHELBERGER ST
Mailing Address - Street 2:STE 5
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331
Mailing Address - Country:US
Mailing Address - Phone:717-646-0440
Mailing Address - Fax:717-646-0444
Practice Address - Street 1:1010 EICHELBERGER ST
Practice Address - Street 2:STE 5
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331
Practice Address - Country:US
Practice Address - Phone:717-646-0440
Practice Address - Fax:717-646-0444
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist