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NPI Code Detail

MEDICARE: STEPHANIE L WOELFEL PT, MPT, CWS, FACCWS

MEDICARE: STEPHANIE L WOELFEL PT, MPT, CWS, FACCWS
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
1225100000XPhysical Therapist6349-24WI

General Provider Information

NPI Number : 1538472972
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE L WOELFEL PT, MPT, CWS, FACCWS
Provider Business Mailing Address
First Line : PO BOX 31309
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-0309
Country : US
Telephone Number : 626-457-6601
Fax Number :
Provider Business Practice Location Address
First Line : 1640 MARENGO ST STE 102
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1061
Country : US
Telephone Number : 323-865-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2010
Last Update Date : 03/03/2025

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