Provider Demographics
NPI:1003857574
Name:WOHLER, DOLORES K (PT)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:K
Last Name:WOHLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ATLANTIC AVENUE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401
Mailing Address - Country:US
Mailing Address - Phone:609-570-2400
Mailing Address - Fax:609-541-4131
Practice Address - Street 1:1801 ATLANTIC AVENUE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401
Practice Address - Country:US
Practice Address - Phone:609-547-2400
Practice Address - Fax:609-486-5053
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00741100225100000X
NJ40QA4000741100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
316704Medicare UPIN
NJ090271Medicare PIN