Healthcare Provider Details
I. General information
NPI: 1932430642
Provider Name (Legal Business Name): GERI WOLFF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/19/2010
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 E MAIN AVE SUITE W
BISMARCK ND
58501-4525
US
IV. Provider business mailing address
PO BOX 160
BISMARCK ND
58502-0160
US
V. Phone/Fax
- Phone: 701-595-1010
- Fax:
- Phone: 701-595-1010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 1108 |
| License Number State | ND |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XM0800X |
| Taxonomy | Mental Health Occupational Therapist |
| License Number | 1108 |
| License Number State | ND |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: