Healthcare Provider Details

I. General information

NPI: 1922214089
Provider Name (Legal Business Name): PATRICIA ANN WINKLER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E ORCHARD RD SUITE 110
CENTENNIAL CO
80111-1731
US

IV. Provider business mailing address

7995 LODGEPOLE TRL
LONE TREE CO
80124-3098
US

V. Phone/Fax

Practice location:
  • Phone: 303-850-7717
  • Fax: 303-850-7517
Mailing address:
  • Phone: 303-649-9609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1017
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: