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NPI Code Detail

MEDICARE: CRISTINA HART-WOLFE PT, OCS,ATC

MEDICARE: CRISTINA HART-WOLFE PT, OCS,ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT2264OK

General Provider Information

NPI Number : 1134386741
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA HART-WOLFE PT, OCS,ATC
Provider Business Mailing Address
First Line : 3701 E MAIN ST
Second Line : WEATHERFORD REGIONAL HOSPITAL
City : WEATHERFORD
State : OK
Zip : 73096-3309
Country : US
Telephone Number : 580-772-2604
Fax Number : 580-772-2906
Provider Business Practice Location Address
First Line : 3701 E MAIN ST
Second Line : WEATHERFORD REGIONAL HOSPITAL
City : WEATHERFORD
State : OK
Zip : 73096-3309
Country : US
Telephone Number : 580-772-2604
Fax Number : 580-772-2906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 09/21/2016

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