Kathryn Dian Wollam P.T.

NPI 1104990563 - Physical Therapist - 225100000X

NPI Details
NPI 1104990563
Gender Female
Enumeration Date 11/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12132 NW 24TH ST
CORAL SPRINGS FL, 33065-3267, US
Phone (954) 579-4056
Fax (954) 344-3878
Business Location
12132 NW 24TH ST
CORAL SPRINGS FL, 33065-3267, US
Phone (954) 579-4056
Fax (954) 344-3878
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT4399
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According to our database, Mrs. Kathryn Dian Wollam P.T. NPI is 1104990563, taxonomy code is 225100000X and license number is PT4399, license state is located at Florida. Kathryn Dian Wollam P.T. physically located at 12132 Nw 24th St, Coral Springs FL, 33065-3267. NPI Number Kathryn Dian Wollam P.T. has the Individual type.

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1104990563 NPI number is provided on an as is basis without warranty of any kind. 1104990563 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Dian Wollam P.T. are for informational purposes only.