Provider Demographics
NPI:1962585976
Name:WOLFE, CHARLES R III (PT)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:R
Last Name:WOLFE
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2411 HARRISBURG PIKE
Mailing Address - Street 2:N/A
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-0000
Mailing Address - Country:US
Mailing Address - Phone:717-245-2411
Mailing Address - Fax:717-245-9230
Practice Address - Street 1:36 S RIVER RD
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-8604
Practice Address - Country:US
Practice Address - Phone:717-896-8898
Practice Address - Fax:717-896-8785
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist