Individual
LAUREL WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1837 RIDGE RD, KLAMATH FALLS, OR 97603-5361
(541) 884-0376
Mailing address
1837 RIDGE RD, KLAMATH FALLS, OR 97603-5361
(541) 884-0376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1722
OR
225100000X
Physical Therapist
21668
CA
225100000X
Physical Therapist
3434
WI
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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