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-- WALTER WOLF -- PTA, PES, CES

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1023032513
Provider Type
Individual Provider (NPI-1)
Credentials
PTA, PES, CES
Status
Active

Contact & Location

Address
1132 E POLSTON AVE, POST FALLS, ID, 838546045
Phone
(208) 777-7800

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer
Physical Therapy Assistant License: WA #P160049952
Physical Therapy Assistant Primary License: ID #PTA-2416

All Addresses

MAILING

5111 S REGAL ST APT 3

SPOKANE, WA, 992239102

(509) 590-8485

LOCATION

1132 E POLSTON AVE

POST FALLS, ID, 838546045

(208) 777-7800