Individual
MRS. REBECCA ANN FUGARINO WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3126 SKYLINE DR, HUBERTUS, WI 53033-9650
(262) 628-3450
Mailing address
3126 SKYLINE DR, HUBERTUS, WI 53033-9650
(262) 628-3450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
261-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40186300
—
WI
Enumeration date
08/19/2007
Last updated
08/19/2007
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