Individual
MRS. LESLIE CHESSON WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079HF
BCBSNC PT
NC
05
—
7210535
—
NC
Enumeration date
10/27/2006
Last updated
03/14/2021
Update your record
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