Individual
CREOLA L WOOLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1002 WISHARD BLVD STE 2001, INDIANAPOLIS, IN 46202-4164
(317) 944-2801
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012174A
IN
2251P0200X
Pediatric Physical Therapist
Primary
05012174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300084609
—
IN
Enumeration date
04/17/2023
Last updated
01/12/2024
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