| NPI | 1821495102 |
|---|---|
| Former Name | ALISSA NICOLE WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI PT-4291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T04095) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2018-06-12 |