Individual
ERIN LEIGH WOHLFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
2601 FERRY ST, LAFAYETTE, IN 47904-3061
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010483A
IN
225100000X
Physical Therapist
2305204924
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000697565
ANTHEM PROVIDER NUMBER
IN
05
—
201007870
—
IN
Enumeration date
04/19/2007
Last updated
09/28/2011
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