| NPI | 1659816742 |
|---|---|
| Former Name | STEPHANIE WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015394) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-03-29 |