Provider Demographics
NPI:1972839900
Name:WOLFE, DEBBIE J (MPH, PT)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:J
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MPH, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 TIFTON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-4485
Mailing Address - Country:US
Mailing Address - Phone:704-905-5807
Mailing Address - Fax:
Practice Address - Street 1:8301 TIFTON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4485
Practice Address - Country:US
Practice Address - Phone:704-905-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5313225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5313OtherNORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS