Doctor Name: | MARCIA WHOLF |
NPI Number: | 1023287075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 40QA00620000 |
Business Practice Address: | 1321 Washington St Hoboken, NJ - 070305517 |
Business Phone Number: | 2014068891 |
Business Fax Number: | |
Mailing Address: | 702 Bloomfield St Apt 1, HOBOKEN |
State: | NJ |
Postal Code: | 070305017 |
Phone Number: | 2014068891 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00620000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |