Individual
ANDREW JOSEPH WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
923 HALE LAKE POINTE, GRAND RAPIDS, MN 55744-9615
(218) 326-0543
Mailing address
4 PUEBLO TRL, VERNON, NJ 07462-3148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12507
MN
225100000X
Physical Therapist
LPT-32119
AZ
Other
Enumeration date
01/17/2022
Last updated
03/14/2022
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