NPI 1063885457

Nicole Carroll Wolfe, OT

Practitioner Contractor Lafayette, LA

Practice location

Address: 206 E Peck Blvd, Lafayette, LA 70508-7474
Phone: (337) 780-4173

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence OTT200017 (LA)

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Registry record

NPI: 1063885457
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2015
Record last updated: 6 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.