Individual
MRS. LISA ANN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
77 VETERANS MEMORIAL HWY, SUITE 5, COMMACK, NY 11725-3410
(631) 499-4344
(631) 499-4383
Mailing address
25 HUDSON DR, KINGS PARK, NY 11754-4419
(631) 269-6196
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
016253
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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