Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA00620000 | NJ |
NPI | 1023287075 |
---|---|
Provider Name | Marcia Wholf |
First Address | Hoboken, NJ 07030-5017 |
Second Address | Hoboken, NJ 07030-5517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2008 |
Last Update Date | 25/02/2008 |