Provider Demographics
NPI:1356334775
Name:WOLFSKILL, ROBERT KEITH (ATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:KEITH
Last Name:WOLFSKILL
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1015 STARK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-8252
Mailing Address - Country:US
Mailing Address - Phone:301-695-0146
Mailing Address - Fax:
Practice Address - Street 1:503 ROBERT GRANT AVE
Practice Address - Street 2:BIOCHEMISTRY 2W130
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-7500
Practice Address - Country:US
Practice Address - Phone:301-319-9462
Practice Address - Fax:301-319-9150
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer