Provider Demographics
NPI:1851350045
Name:WOLF, JULIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:WOLF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:CHILD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1282 PAINTER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8936
Mailing Address - Country:US
Mailing Address - Phone:802-881-1668
Mailing Address - Fax:
Practice Address - Street 1:295 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8518
Practice Address - Country:US
Practice Address - Phone:802-398-2700
Practice Address - Fax:802-398-2702
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT49126OtherBCBS
VT786546OtherMVP
VT786546OtherMVP