Provider Demographics
NPI:1194178921
Name:WOLFE, CURSTON (DPT)
Entity Type:Individual
Prefix:
First Name:CURSTON
Middle Name:
Last Name:WOLFE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 KENYON ST NW
Mailing Address - Street 2:APT 216
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2398
Mailing Address - Country:US
Mailing Address - Phone:571-205-5550
Mailing Address - Fax:
Practice Address - Street 1:4215 13TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2604
Practice Address - Country:US
Practice Address - Phone:202-288-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-17
Last Update Date:2016-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT8719432251P0200X
VA23052100492251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics