Doctor Name: | MRS. FONDA SYCHE WOLF |
NPI Number: | 1053513754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 004067 |
Business Practice Address: | 830 Washington Street Samaritan Medical Center Watertown, NY - 13601 |
Business Phone Number: | 3157854088 |
Business Fax Number: | 3157864847 |
Mailing Address: | 25459 James St, CALCIUM |
State: | NY |
Postal Code: | 136162188 |
Phone Number: | 5713342410 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 02/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004067 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |