Provider Demographics
NPI:1003431578
Name:WOLITZER, KAYLEE ALLISON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KAYLEE
Middle Name:ALLISON
Last Name:WOLITZER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HOME HEALTH CIR # 1
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-9737
Mailing Address - Country:US
Mailing Address - Phone:802-527-7531
Mailing Address - Fax:
Practice Address - Street 1:3 HOME HEALTH CIR # 1
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-9737
Practice Address - Country:US
Practice Address - Phone:802-527-7531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0134094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist