Individual
SOFYA WOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3046 ORANGE ST, MIAMI, FL 33133-4576
(847) 630-3829
Mailing address
3046 ORANGE ST, MIAMI, FL 33133-4576
(847) 630-3829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.022733
IL
2251P0200X
Pediatric Physical Therapist
Primary
070.022733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT122173
FLORIDA PHYSICAL THERAPY LICENSE
FL
Enumeration date
12/02/2016
Last updated
02/15/2021
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