Individual
BRIEN WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
173 HIGH ST, CARVER, MA 02330-1018
(781) 270-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7806
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7806
LICENSE
MA
Enumeration date
09/11/2009
Last updated
01/20/2021
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