| NPI | 1649785700 |
|---|---|
| Former Name | CASEY M WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023493) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2020-02-12 |