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NPI Code Detail

MEDICARE: DR. KEVIN ANDREW WOLF PT, DPT

MEDICARE:  DR. KEVIN ANDREW WOLF  PT, DPT
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 TherapistPT014757OH

General Provider Information

NPI Number : 1770996670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN ANDREW WOLF PT, DPT
Provider Business Mailing Address
First Line : 8051 WASHINGTON VILLAGE DR
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-1885
Country : US
Telephone Number : 937-291-3160
Fax Number : 937-291-3159
Provider Business Practice Location Address
First Line : 8051 WASHINGTON VILLAGE DR
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-1885
Country : US
Telephone Number : 937-291-3160
Fax Number : 937-291-3159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/09/2014

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Directions to “ DR. KEVIN ANDREW WOLF PT, DPT” Practice Location

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