Individual
JOSHUA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8994
LA
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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