Individual
MELISSA B WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007541
CT
2251P0200X
Pediatric Physical Therapist
007541
CT
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
Update your record
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