Individual
JONATHAN D WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
112 2ND ST NW, WAVERLY, IA 50677
(319) 352-0102
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
090538
IA
225100000X
Physical Therapist
PT00008088
WA
225100000X
Physical Therapist
PTL8014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8438939
—
WA
Enumeration date
12/05/2005
Last updated
02/06/2019
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