Individual
MRS. MARY P WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1070 S WICKHAM RD, W MELBOURNE, FL 32904-1653
(321) 729-9000
Mailing address
4885 RAYBURN RD, COCOA, FL 32926-3449
(321) 271-1825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA39646
FL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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