| NPI | 1760650659 |
|---|---|
| Former Name | MONICA WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3105130) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-09-29 |