Individual
MRS. STEPHANIE RENEE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2368 CRATER LAKE AVE STE 103, MEDFORD, OR 97504-5006
(541) 773-2999
(541) 773-1874
Mailing address
2368 CRATER LAKE AVE STE 103, MEDFORD, OR 97504-5006
(541) 773-2999
(541) 773-1874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8464
OR
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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