Provider Demographics
NPI:1750455531
Name:CARIGLIO WOLFE, CAROL M (PT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:CARIGLIO WOLFE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3755 WASHINGTON SOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-9066
Mailing Address - Country:US
Mailing Address - Phone:419-886-1983
Mailing Address - Fax:
Practice Address - Street 1:865 HARDING WAY W
Practice Address - Street 2:GALION COMMUNITY HOSPITAL
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-1637
Practice Address - Country:US
Practice Address - Phone:419-438-0570
Practice Address - Fax:419-468-0997
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30174888400OtherBUREAU OF WORKERS COMP
192886OtherOLD ANTHEM
217715OtherNEW ANTHEM
301748884001OtherMEDICAL MUTUAL OF OH