Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 7677 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 7677 | CO |
NPI | 1518941491 |
---|---|
Provider Name | Mrs. Gloria Renee Winters |
First Address | Colorado Springs, CO 80906-4651 |
Second Address | Colorado Springs, CO 80906-4651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2005 |
Last Update Date | 08/07/2007 |