Individual provider · NPI-1
John R Wolcott
Kinesiotherapist · Wilkes Barre, PA
NPI number1194763391
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1194763391
- Entity type
- Individual (NPI-1)
- Name
- Mr. John R Wolcott
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 226300000X | Kinesiotherapist | – | – | Yes |
Practice location
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521 · Fax 570-819-5143
Mailing address
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521 · Fax 570-819-5143
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