Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT001844E | PA |
N | 2251N0400X | Physical Therapist - Neurology | PT001844 | PA |
NPI | 1033164355 |
---|---|
Provider Name | Amy Winchell |
First Address | Trafford, PA 15085-2310 |
Second Address | Greensburg, PA 15601-3503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01622266 | (05) | PA |