Healthcare Provider Details

I. General information

NPI: 1609789312
Provider Name (Legal Business Name): WOLFE & CUB LEARNING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 GENERAL DR UNIT 101
PLYMOUTH MI
48170-4628
US

IV. Provider business mailing address

44932 FORD RD # 288
CANTON MI
48187-2939
US

V. Phone/Fax

Practice location:
  • Phone: 734-228-6192
  • Fax:
Mailing address:
  • Phone: 734-228-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: VALERIE WOLFE
Title or Position: OWNER
Credential:
Phone: 734-228-6192