Individual
MR. ANDREW DAVID WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11447 ANDERSON LAKES PKWY APT 367, EDEN PRAIRIE, MN 55344-4091
(612) 384-1637
Mailing address
11447 ANDERSON LAKES PKWY APT 367, EDEN PRAIRIE, MN 55344-4091
(612) 384-1637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2189
MN
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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