Individual
JAMES G WOLLET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3433 VALLEY SPRING RD, MOUNT HOREB, WI 53572-1239
(608) 798-3069
Mailing address
3433 VALLEY SPRING RD, MOUNT HOREB, WI 53572-1239
(608) 798-3069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2637-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40077700
—
WI
Enumeration date
03/07/2006
Last updated
07/09/2007
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