Provider Demographics
NPI:1770810160
Name:WOLF, MARGARET DISALVI (OT/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:DISALVI
Last Name:WOLF
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5170 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9727
Mailing Address - Country:US
Mailing Address - Phone:610-770-9873
Mailing Address - Fax:
Practice Address - Street 1:706 GRAPE ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5207
Practice Address - Country:US
Practice Address - Phone:610-266-7700
Practice Address - Fax:610-266-9300
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001263L225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision