| NPI | 1740213768 |
|---|---|
| Former Name | DEBORAH E WOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT-5843) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |