Provider Demographics
NPI:1760568166
Name:WOLFF, DONALD FRANK (MPT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:FRANK
Last Name:WOLFF
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPT
Mailing Address - Street 1:7402 CORNUS CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9514
Mailing Address - Country:US
Mailing Address - Phone:336-644-0771
Mailing Address - Fax:336-644-9604
Practice Address - Street 1:5 DUNDAS CIR STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1638
Practice Address - Country:US
Practice Address - Phone:336-294-3338
Practice Address - Fax:336-294-6696
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP71402251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210812Medicaid
NC079HEOtherBCBSNC PT