Individual
CARRIE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2430
Mailing address
1894 POINT OAK RD, DES PERES, MO 63131-3807
(314) 677-5328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112325
MO
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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