Provider Demographics
NPI:1134386741
Name:HART-WOLFE, CRISTINA (PT, OCS,ATC)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:HART-WOLFE
Suffix:
Gender:F
Credentials:PT, OCS,ATC
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3701 E MAIN ST
Mailing Address - Street 2:WEATHERFORD REGIONAL HOSPITAL
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-3309
Mailing Address - Country:US
Mailing Address - Phone:580-772-2604
Mailing Address - Fax:580-772-2906
Practice Address - Street 1:3701 E MAIN ST
Practice Address - Street 2:WEATHERFORD REGIONAL HOSPITAL
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-3309
Practice Address - Country:US
Practice Address - Phone:580-772-2604
Practice Address - Fax:580-772-2906
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT22642251X0800X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic