James Aries Wolcott
Rehabilitation Practitioner in Van Nuys, CA. Individual provider (NPI-1).
NPI number1861691172
StatusActive
Last updated in NPPESApr 28, 2020
Details
- NPI
- 1861691172
- Entity type
- Individual (NPI-1)
- Name
- James Aries Wolcott
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2007
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
15339 Saticoy StVan Nuys, CA 91406-3345
Phone 818-497-1285
Mailing address
15339 Saticoy StVan Nuys, CA 91406-3345
Phone 818-497-1285
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