MEDICARE: MRS. NANCY ELLEN WINIKOR OTR,CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OT481	FL

General Provider Information

NPI Number	:	1376742817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY ELLEN WINIKOR OTR,CHT

Provider Business Mailing Address
First Line	:	6424 NW 85TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32653-2962
Country	:	US
Telephone Number	:	352-373-8930
Fax Number	:

Provider Business Practice Location Address
First Line	:	6424 NW 85TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32653-2962
Country	:	US
Telephone Number	:	352-373-8930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2007
Last Update Date	:	07/14/2007

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