Healthcare Provider Details

I. General information

NPI: 1831144864
Provider Name (Legal Business Name): CLAUDIA WOHL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N MAIN STREET 1ST FLOOR
LAMBERTVILLE NJ
08530
US

IV. Provider business mailing address

333 N MAIN STREET 1ST FLOOR
LAMBERTVILLE NJ
08530
US

V. Phone/Fax

Practice location:
  • Phone: 609-397-9390
  • Fax: 609-397-2586
Mailing address:
  • Phone: 609-397-9390
  • Fax: 609-397-2586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA007333
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: