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NPI Code Detail

MEDICARE: MRS. CYNTHIA LEE WINIARSKI PTA

MEDICARE: MRS. CYNTHIA LEE WINIARSKI PTA
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
1225200000XPhysical Therapy Assistant00481OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881609279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA LEE WINIARSKI PTA
Provider Business Mailing Address
First Line : 7940 TWIN HILLS RD
Second Line :
City : STREETSBORO
State : OH
Zip : 44241-6202
Country : US
Telephone Number : 330-673-1283
Fax Number :
Provider Business Practice Location Address
First Line : 9772 DIAGONAL RD
Second Line :
City : MANTUA
State : OH
Zip : 44255-9128
Country : US
Telephone Number : 330-274-2272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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