Provider Demographics
NPI:1164577797
Name:WOLSFELD, FRANCISCO LEO (PT)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:LEO
Last Name:WOLSFELD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:LEO
Other - Last Name:WOLSFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2223 HOMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1331
Mailing Address - Country:US
Mailing Address - Phone:408-246-4170
Mailing Address - Fax:
Practice Address - Street 1:270 INTERNATIONAL CIR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1130
Practice Address - Country:US
Practice Address - Phone:408-972-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 22478225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist