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1649031626 NPI number — KRISTIN C WOLF DPT, PT

NPI Number: 1649031626
Health Care Provider/Practitioner: KRISTIN C WOLF DPT, PT

Information about “1649031626” NPI (KRISTIN C WOLF DPT, PT) exists in 1649031626 in HTML format HTML  |  1649031626 in plain Text format TXT  |  1649031626 in PDF (Portable Document Format) PDF  |  1649031626 in an XML format XML  formats.

NPI Number : 1649031626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649031626",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOLF",
    "FirstName": "KRISTIN",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT, PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1050 INDUSTRIAL DR STE 210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19709-2803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-727-0075",
    "MailingAddressFaxNumber": "302-449-2047",
    "FirstLinePracticeLocationAddress": "20268 PLANTATIONS RD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWES",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19958-4622",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-727-0075",
    "PracticeLocationAddressFaxNumber": "302-449-2047",
    "EnumerationDate": "01/17/2024",
    "LastUpdateDate": "01/17/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "J1-0014815",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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