Individual
MADALYNN D WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
123 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117-5516
(704) 799-9825
Mailing address
123 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117-5516
(704) 799-9825
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
08/04/2010
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