Individual
MS. TERESA ANN WOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT, RCP
Contact information
Practice address
5925 MAPLE AVE, 150, DALLAS, TX 75235-6515
(214) 353-9090
(214) 353-9594
Mailing address
5925 MAPLE AVE, 150, DALLAS, TX 75235-6515
(214) 353-9090
(214) 353-9594
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
65179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754376-01
—
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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