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NPI Code Detail

MEDICARE: MS. DEBBIE J. WOLFE MPH, PT

MEDICARE:  MS. DEBBIE J. WOLFE  MPH, PT
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 Therapist5313NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15313OTHERNCNORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS

General Provider Information

NPI Number : 1972839900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBBIE J. WOLFE MPH, PT
Provider Business Mailing Address
First Line : 8301 TIFTON RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4485
Country : US
Telephone Number : 704-905-5807
Fax Number :
Provider Business Practice Location Address
First Line : 8301 TIFTON RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4485
Country : US
Telephone Number : 704-905-5807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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